metatarso-phalangeal

In some few cases the metatarso-phalangeal joint is affected; but no case has been seen at the base of the ungual phalanx.

Anomalies and Curiosities of Medicine 1896

In some few cases the metatarso-phalangeal joint is affected; but no case has been seen at the base of the ungual phalanx.

Anomalies and Curiosities of Medicine 1896

# -- The great toe may be dislocated at its metatarso-phalangeal joint, the base of the proximal phalanx passing towards the dorsum (Fig. 102).

Manual of Surgery Volume Second: Extremities—Head—Neck. Sixth Edition. Alexander Miles 1893

This is more satisfactory than amputation of the affected toe at the metatarso-phalangeal joint, as after this the adjacent toes tend to fall together and favour hallux valgus.

Manual of Surgery Volume Second: Extremities—Head—Neck. Sixth Edition. Alexander Miles 1893

-- These terms indicate two stages of an affection of the metatarso-phalangeal joint of the great toe, first described by Davies Colley.

Manual of Surgery Volume Second: Extremities—Head—Neck. Sixth Edition. Alexander Miles 1893

It may be excited by pressing the heads of the metatarsals together or by grasping the fourth metatarso-phalangeal joint between the finger and thumb.

Manual of Surgery Volume Second: Extremities—Head—Neck. Sixth Edition. Alexander Miles 1893

The arch is exaggerated and the instep abnormally high; there is hyper-extension of the toes at the metatarso-phalangeal joints, and plantar-flexion at the inter-phalangeal joints; the plantar fascia and muscles are shortened.

Manual of Surgery Volume Second: Extremities—Head—Neck. Sixth Edition. Alexander Miles 1893

The soft parts are then to be cleared from the metatarso-phalangeal joint, and the toe still being retained on the metatarsal bone, it should be carefully dissected up, avoiding any pricking of the soft parts below, till the joint is reached, or the spot at which the bone-pliers are to be applied is fully cleared.

A Manual of the Operations of Surgery For the Use of Senior Students, House Surgeons, and Junior Practitioners Joseph Bell 1874

-- This operation is on exactly the same principle as that described for the corresponding finger; but it must be remembered that the metatarso-phalangeal joint is more deeply situated in the soft parts than is the metacarpo-phalangeal; and thus the commencement of the elliptical incision which is to surround the base of the toe must be proportionally higher up (Fig.V. 1).

A Manual of the Operations of Surgery For the Use of Senior Students, House Surgeons, and Junior Practitioners Joseph Bell 1874

The simplest and shortest rule that can be given for the amputation of a toe, with the part or whole of its metatarsal, is to make one dorsal incision, commencing about a quarter of an inch above the spot at which you intend to divide the bone or to disarticulate, extending downwards in a straight line to the metatarso-phalangeal articulation, and then bifurcating so as to surround the base of the toe at the normal fold of the skin.

A Manual of the Operations of Surgery For the Use of Senior Students, House Surgeons, and Junior Practitioners Joseph Bell 1874