DEGENERATIVE LESIONS OF THE METATARSOSESAMOID JOINT: ANATOMIC AND CLINICAL ANALYSIS

Purpose: The morphology and mechanical function of the metatarsosesamoid joint plays an important role in metatarsal head stability. The position of the sesamoids during the development of hallux valgus was evaluated by Inges, Haines and Tourne who distinguished three stages. Cartilage lesions in the context of hallux valgus have not been analysed with precision. The purpose of our work was to identify metatarsosesamoid lesions on anatomic specimens in patients who had undergone hallux valgus surgery.Material and methods: We dissected 12 metatarsosesa-moid joints (4 right, 13 left) from laboratory specimens and evaluated the degenerative lesions. For each specimen, we noted the metatarsophalangial angle and the AADM. We also examined 17 metatarsal specimens to determine the persistence or absence of the median crest as a sign of wear. Using the same protocol, we examined the joints surfaces and determined degenerative lesions during 20 SCARF procedures for hallus valgus.Results: For the twelve laboratory ...