Metatarsophalangeal Joint - Dorsal Approach
This Metatarsophalangeal Joint – Dorsal Approach course will teach you:
- To access the metatarsophalangeal joint of the great toe using a dorsal approach: suitable for the surgical treatment of bunions, hallux rigidus or fractures of the 1st metatarsal. This approach is particularly useful for tendon injuries and irreducible 1st metatarsal dislocations.
Special attention is paid to the following hazards you may encounter during the Metatarsophalangeal Joint – Dorsal Approach:
- Cutaneous branches of the deep peroneal nerve injury
- Dorsalis pedis vessels injury
After studying the Metatarsophalangeal Joint – Dorsal Approach course you are familiar with the most common complications:
- Wound complications
- Injury to cutaneous branches of the deep peroneal nerve
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Midfoot – Anterior approach
Step by step
Metatarsophalangeal joint exposure
Identify the landmarks by palpating the head of the first metatarsal bone, the metatarsophalangeal joint and the extensor hallucis longus tendon
Mark the skin just medial to the extensor hallucis longus tendon in line with the tendon, starting just proximal to the interphalangeal joint extending to 2-3 cm proximal to the metatarsophalangeal joint.
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