Stiffening of the metatarsophalangeal joint of the big toe | Big toe metatarsophalangeal joint

Stiffening of the metatarsophalangeal joint of the big toe

The stiffening of the metatarsophalangeal joint of the big toe (“arthrodesis”) is a possible measure to provide lasting relief.This is very common, especially with young, athletic patients. For this purpose, the problematic joint including cartilage is removed, put into a physiological, normal position and the two bones, which are now in contact with each other, are connected by means of screws. The alternative to stiffening is a prosthesis of the joint.

Although this possibility is possible, it is still rather unexplored. A stiffening of the metatarsophalangeal joint of the big toe may lead to an impairment of the rolling motion, but it immediately provides lasting relief of the other symptoms. However, the impairment is to be considered rather small.

Aftercare of an arthrodesis takes about 6-8 weeks. During this time it is important not to exert any stress on the joint. The metatarsophalangeal joint of the big toe serves as a joint between the metatarsal bone and the toe.

The flaccid joint capsule is fixed by various tight ligaments, thus restricting movement to two main axes. The main movements, flexion and extension of the big toe, are enabled by 4 muscles.