Pertinent Pearls On Treating First MPJ Injuries In Athletes

Start Page: 58

A Brief Overview Of First MPJ Structures

Capsule
Collateral ligaments
Flexor hallucis brevis muscle and tendon
Adductor hallucis muscle and tendon
Abductor hallucis muscle and tendon
Flexor hallucis longus insertion
Extensor hallucis longus insertion
Extensor hallucis brevis insertion
Intersesamoid ligament
Sesamoids

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Author(s): 
A. Douglas Spitalny, DPM, FACFAS

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9. Crain JM, Phancao JP, Stidham K. MR Imaging of turf toe. MRI Clin N Am. 2008; 16(1):93-103.
10. Perlman MD. Fractures of the proximal phalanx of the hallux: the use of plates with displaced multifragment fractures. J Foot Surg. 1992; 31(3):260-267.
11. Dietzen CJ. Great toe sesamoid injuries in the athlete. Orthopaedic Review. 1990; 19(11):966-972.
12. Cortas ZE, Baumhauer JF. Traumatic lateral dislocation of the great toe fibular sesamoid: case report. Foot Ankle Int. 2004; 25(3):164-167.
13. Pagenstert GI, Hintermann B, Valderrabano V. Percutaneous fixation of hallux sesamoid fractures. Techniques Foot Ankle Surg. 2008; 7(2):107-114.
14. Blundell CM, Nicholson P, Blackney MW. Percutaneous screw fixation for fractures of the sesamoid bones of the hallux. J Bone Joint Surg Br. 2002; 84(8):1138-1141.
15. Jahss MH. Traumatic dislocations of the first metatarsophalangeal joint. Foot Ankle. 1980; 1(1):15-21.
16. Van Pelt M, Brown D, Doyle J, Lafontaine J. First metatarsophalangeal joint dislocation with open fracture of tibial and fibular sesamoids. J Foot Ankle Surg. 2007; 46(2):124-129.
17. Orendurff MS, Rohr ES, Segal AD, et al. Regional foot pressure during running, cutting, jumping, and landing. Am J Sports Med. 2008; 36(3):566-571.
18. Wertheimer SJ, Balazsy JE. A unique osteochondral fracture of the first metatarsophalangeal joint. J Foot Surg. 1992; 31(3):268-271.

   For further reading, see “How To Treat Turf Toe Injuries” in the September 2008 issue of Podiatry Today. To access the archives, visit www.podiatrytoday.com.

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