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The metatarsophalangeal joints (MTP joints) are the joints between the metatarsal bones of the foot and the proximal bones (proximal phalanges) of the toes. They are analogous to the knuckles of the hand , and are consequently known as toe knuckles in common speech.
The bones entering into their formation are the first, second, and third cuneiforms, and the cuboid bone, which articulate with the bases of the metatarsal bones. The first metatarsal bone articulates with the first cuneiform; the second is deeply wedged in between the first and third cuneiforms articulating by its base with the second ...
Fusion of the joint is often viewed as more definitive but may lead to significant alteration of gait causing postural symptomatology. The implants termed "two part unconstrained" implants in which a "ball" type device is placed on the first metatarsal head and "socket" portion on the base of the big toe do not have a good long term track record.
The MTP joint of the first toe differs from those of the other toes in that other muscles act on the joint, and in the presence of two sesamoid bones. The plantar plate is firm but flexible fibrocartilage with a composition similar to that found in the menisci of the knee (composed roughly of 75% type-I collagen ), and can thus withstand ...
The collateral ligaments of metatarsophalangeal joints are strong, rounded cords, placed one on either side of each joint, and attached, by one end, to the posterior tubercle on the side of the head of the metatarsal bone, and, by the other, to the contiguous extremity of the phalanx.
The only movements permitted in the joints of the digits are flexion and extension; these movements are more extensive between the first and second phalanges than between the second and third. The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively. The tendons of ...
One or both of the sesamoid bones under the first metatarsophalangeal joint (of the great toe) can be multipartite – in two or three parts (mostly bipartite – in two parts). [12] The fabella is a small sesamoid bone found in some mammals embedded in the tendon of the lateral head of the gastrocnemius muscle behind the lateral condyle of the ...
A metatarsophalangeal joint sprain is an injury to the connective tissue between the foot and a toe (at a metatarsophalangeal joint, one of the joints in the ball of the foot). When the big toe is involved, it is known as "turf toe". [1] [2]