Whereas, Marczynski  considers metatarsophalangeal joint
pain a symptom of hallux valgus.
Does total joint replacement or arthrodesis of the first metatarsophalangeal joint
yield better functional results?
The metatarsophalangeal joint
exhibits the largest flexion/extension excursion of all joints.
A diabetic 56-year-old male patient weighing 162 kilograms was admitted to our clinic with a foot ulcer on the underlying callus plantar to the metatarsophalangeal joint
of the fifth toe that had been present for a few months.
Clinical and laboratory evaluation of the patients with gouty arthritis revealed first metatarsophalangeal joint
involvement in 72 (77.4%), ankle arthritis in 43 (46.2%), knee arthritis in 20 (21.5%), finger joint involvement in 18 (19.5%), elevated levels of serum uric acid in 76 (81.7%), elevated erythrocyte sedimentation rate in 45 (48.4%), and increased serum C-reactive protein in 42 (45.2%) patients (Table 1).
Egyptians identified podagra (the inflammation of the metatarsophalangeal joint
of the hallux) in 2640 B.C.
Some are considered to be complications of acute or chronic sprain/strain of the first metatarsophalangeal joint
. This category accounts for the most common athletic disorders of the foot.
Initial clinical presentation is commonly an acute inflammatory monoarthritis affecting the first metatarsophalangeal joint
, known as podagra [1, 2, 4].
C., 2000, The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint
Characteristic Reference 1 Peritoneal dialysis, (2) catheter-related peritonitis 2 Exacerbation of (3) bronchiectasis 3 Disseminated skin infection (4) 4 Chronic endophthalmitis after (5) lens implantation 5 Osteomyelitis after first (6) metatarsophalangeal joint
arthrodesis 6 Catheter-related bloodstream (7) infection 7 Catheter-related bloodstream (8) infection
But it is especially found in the first metatarsophalangeal joint
. The tophi are deposits, occurring within the intra-articular synovium and cartilage.
Primary OA affects the knee, hip, hand, the first metatarsophalangeal joint
of the foot and the lumbar and cervical spine (Fig.