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These digits are not intended to reflect the placement of the code in the regular (Category I) part of the CPT codebook. Appendix H in CPT section contains information about performance measurement exclusion of modifiers, measures, and the measures' source(s). Currently there are 11 Category II codes. They are: (0001F–0015F) Composite measures
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 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.
Arthrodesis, also known as artificial ankylosis or syndesis, is the artificial induction of joint ossification between two bones by surgery. This is done to relieve intractable pain in a joint which cannot be managed by pain medication , splints , or other normally indicated treatments.
The base of each metatarsal bone articulates with one or more of the tarsal bones at the tarsometatarsal joints, and the head with one of the first row of phalanges at the metatarsophalangeal joints. Their bases also articulate with each other at the intermetatarsal joints
The horizontal head of the adductor hallucis also originates from the lateral side of the metacarpophalangeal joint and from the deep transverse metatarsal ligament, [2] a narrow band which runs across and connects together the heads of all the metatarsal bones.
[6] [11] [12] [7] [8] A 2011 systematic review reported the rate of bone union to be 87%, with a range of 74 to 93% in different studies. [11] The average time to union was 4.5 months. [11] Only 26% of cases of non-union required revision fusion, with the remaining cases being asymptomatic or not being severe enough to require revision. [11]
The intermetatarsal joints are the articulations between the base of metatarsal bones.. The base of the first metatarsal is not connected with that of the second by any ligaments; in this respect the great toe resembles the thumb.