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Gepubliceerd in: Journal of Foot and Ankle Research 1/2011

Open Access 01-12-2011 | Poster presentation

The first metatarsophalangeal joint meniscus

Auteurs: Dean J Samaras, Andrew C Kingsford

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2011

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An intra-articular ligament of the first metatarsophalangeal joint (MTPJ) has been observed by the authors during dissection for hallux valgus and hallux rigidus corrective surgery over a number of years. The enigmatic incidence and role of this structure prompted further investigation. A literature review was conducted across several scientific databases using the search terms “first metatarsophalangeal joint” AND “meniscus” OR “anatomy” OR “plica” OR “intra-atricular ligament” OR “ligament”. In an effort to procure additional information several anatomy textbooks including those specific to the foot and ankle were obtained by the primary author for inspection, as were the expert opinions of several fellows of the Australasian College of Podiatric Surgeons. The literature search yielded just two papers pertaining to this structure and no reference had been made in any of the reviewed anatomy texts. One paper made reference to the structure in a case study and proposed it may be an additional ligament or meniscoid tissue. The authors of the second paper found a clear anatomical distinction (origin and insertion) and named it the meniscus of the first MTPJ as it showed histological resemblance to the meniscus in the knee. They proposed the transverse nature of the meniscus may assist in the stability of the joint preventing progression of hallux valgus deformity. On the contrary, the highest incidence of this structure was observed in feet with hallux valgus deformity. No mention has been made of the incidence or role of the meniscus in hallux rigidus pathology. Further research is therefore required to understand the incidence, function and role of the meniscus in the pathology of the first MTPJ.
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Metagegevens
Titel
The first metatarsophalangeal joint meniscus
Auteurs
Dean J Samaras
Andrew C Kingsford
Publicatiedatum
01-12-2011
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2011
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-4-S1-P53

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