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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 Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1] They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella
Often, the injury occurs when someone or something falls on the back of the calf while that leg's knee and tips of the toes are touching the ground. The toe is hyperextended and thus the joint is injured. Additionally, athletic shoes with very flexible soles combined with cleats that "grab" the turf will cause overextension of the big toe.
The first is the strongest, and passes from the lateral surface of the first cuneiform to the adjacent angle of the second metatarsal. The second connects the third cuneiform with the adjacent angle of the second metatarsal. The third connects the lateral angle of the third cuneiform with the adjacent side of the base of the third metatarsal.
Most of the time, if the MCL or LCL are torn as an isolated injury, they can heal without surgery, providing there is a period of long leg bracing followed by a rehab program.
Another example of MTP joint implant is "Roto-glide" which is designed to restore optimum anatomical movement whilst preserving as much primary bone stock as possible. [7] [8] Cartilage replacement may be the first step before considering Fusion ( Arthrodesis- stiff toe joint) or arthroplasty.
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