Technical tip: Dorsal transmetatarsal approach to intermetatarsal and deep plantar lesions.
Synovial and chondromatous lesions can extend dorsally, intermetatarsally and deep into the vault of the longitudinal and transverse plantar arches of the foot. The lesions may prove difficult to excise even with combined approaches. Two cases where a transmetatarsal approach by excision of the base of the third metatarsal enabled successful complete excision of the lesions are presented.


METHODS
Level V, expert opinion.
Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middelesex HL7 4LP, United Kingdom. Electronic address: dishansingh@aol.com.
Dishan
D
Singh
Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middelesex HL7 4LP, United Kingdom.
Nicholas
N
Cullen
D000293:Adolescent; D015838:Chondromatosis, Synovial / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005528:Foot; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D013586:Synovitis, Pigmented Villonodular / Q000175:diagnosis / Q000601:surgery*
Deep plantar tumours; Dorsal; PVNS; Surgical approach; Synovial chondromatosis