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

Lui, Tun Hing; Slocum, Amanda Mun Yee; Li, Charles Churk Hang; Kumamoto, Wataru · Arthrosc Tech · 2025

case_series · Level IV

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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.