First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions

Small-joint arthroscopy has supplanted open procedures because it offers the potential for improvement in joint visualization, reduced scarring, and accelerated recovery. Despite these advantages, arthroscopy of the first metatarsophalangeal joint is not commonly performed and reports of its use are...

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Main Authors: Thomas I. Sherman, M.D., Michael Kern, M.D., John Marcel, M.D., Alexander Butler, B.S., Francis X. McGuigan, M.D.
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628716000487
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author Thomas I. Sherman, M.D.
Michael Kern, M.D.
John Marcel, M.D.
Alexander Butler, B.S.
Francis X. McGuigan, M.D.
author_facet Thomas I. Sherman, M.D.
Michael Kern, M.D.
John Marcel, M.D.
Alexander Butler, B.S.
Francis X. McGuigan, M.D.
author_sort Thomas I. Sherman, M.D.
collection DOAJ
description Small-joint arthroscopy has supplanted open procedures because it offers the potential for improvement in joint visualization, reduced scarring, and accelerated recovery. Despite these advantages, arthroscopy of the first metatarsophalangeal joint is not commonly performed and reports of its use are lacking. The reason for this is not clear but may be because of perceived technical complexity and poorly defined indications. In our experience, however, arthroscopy of the first metatarsophalangeal joint is a versatile procedure that facilitates treatment of many different pathologic processes through a minimally invasive approach with few complications. We present our technique for arthroscopic management of osteochondral lesions of the hallux.
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spelling doaj.art-6d6db83565e548fe949200fd885343202022-12-22T04:04:48ZengElsevierArthroscopy Techniques2212-62872016-06-0153e513e518First Metatarsophalangeal Joint Arthroscopy for Osteochondral LesionsThomas I. Sherman, M.D.0Michael Kern, M.D.1John Marcel, M.D.2Alexander Butler, B.S.3Francis X. McGuigan, M.D.4Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.; Address correspondence to Thomas I. Sherman, M.D., Orthopaedic Surgery Department, MedStar Georgetown University Hospital, 3800 Reservoir Rd, NW-1 PHC, Washington, D.C. 20007, U.S.A.Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.Georgetown University School of Medicine, Washington, D.C., U.S.A.Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.Small-joint arthroscopy has supplanted open procedures because it offers the potential for improvement in joint visualization, reduced scarring, and accelerated recovery. Despite these advantages, arthroscopy of the first metatarsophalangeal joint is not commonly performed and reports of its use are lacking. The reason for this is not clear but may be because of perceived technical complexity and poorly defined indications. In our experience, however, arthroscopy of the first metatarsophalangeal joint is a versatile procedure that facilitates treatment of many different pathologic processes through a minimally invasive approach with few complications. We present our technique for arthroscopic management of osteochondral lesions of the hallux.http://www.sciencedirect.com/science/article/pii/S2212628716000487
spellingShingle Thomas I. Sherman, M.D.
Michael Kern, M.D.
John Marcel, M.D.
Alexander Butler, B.S.
Francis X. McGuigan, M.D.
First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions
Arthroscopy Techniques
title First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions
title_full First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions
title_fullStr First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions
title_full_unstemmed First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions
title_short First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions
title_sort first metatarsophalangeal joint arthroscopy for osteochondral lesions
url http://www.sciencedirect.com/science/article/pii/S2212628716000487
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