title: Second metatarsophalangeal joint pathology and freiberg disease.
abstract: Pain in the second metatarsophalangeal joint (MTPJ) is a complaint frequently encountered by foot and ankle specialists. The pathology associated with this joint is often painful and debilitating for the patient. In the past, typical treatment protocols for second MTPJ pathology were aimed at relief of patient symptoms. Conservative treatment and offloading devices have historically dominated treatment options for the clinician. However, recent surgical techniques and procedures have been developed to correct the mechanical and structural defects that can affect this joint. The aim of this review was to outline recent developments and treatment options for common second MTPJ pathologies.
authors.affiliation: Orlando Foot and Ankle Clinics, 250 North Alafaya Trail, Suite 105, Orlando, FL 32825, USA. ashane@orlandofootandankle.com
authors.forename: Amber
authors.initials: A
authors.lastname: Shane
authors.forename: Christopher
authors.initials: C
authors.lastname: Reeves
authors.forename: Garrett
authors.initials: G
authors.lastname: Wobst
authors.forename: Paul
authors.initials: P
authors.lastname: Thurston
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008684:Metatarsus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D010007:Osteochondritis / Q000151:congenital* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery / Q000628:therapy; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D000700:Analgesics
keywords: Crossover second toe; Freiberg disease; Freiberg infraction; Instability second toe; Plantar plate rupture; Predislocation syndrome