title: First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.
authors.forename: Thomas I
authors.initials: TI
authors.lastname: Sherman
authors.affiliation: Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.
authors.forename: Michael
authors.initials: M
authors.lastname: Kern
authors.affiliation: Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.
authors.forename: John
authors.initials: J
authors.lastname: Marcel
authors.affiliation: Georgetown University School of Medicine, Washington, D.C., U.S.A.
authors.forename: Alexander
authors.initials: A
authors.lastname: Butler
authors.affiliation: Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.
authors.forename: Francis X
authors.initials: FX
authors.lastname: McGuigan