Arthroscopic Dorsal Cheilectomy, Plantar Capsular Release, Flexor Hallucis Brevis Release, and Sesamoid Cheilectomy for Management of Early Stages of Hallux Rigidus

Abstract

In hallux rigidus, limitation of the dorsiflexion of the first metatarsophalangeal joint can be a result of dorsal impingement and plantar contracture of the joint. The purpose of this Technical Note is to describe the details of arthroscopic dorsal cheilectomy, plantar capsular release, flexor hallucis brevis release, and sesamoid cheilectomy for the management of early stages of hallux rigidus. This minimally invasive technique can deal with both dorsal and plantar pathologies of the first metatarsophalangeal joint.