Abstract
Proper function of the great toe metatarsal-phalangeal (MTP) joint is essential for agility and balance in recreational or competitive athletic activities. Congenital, idiopathic, or traumatic disorders, such as bunions, turf toe, stress fractures of the sesamoids, hallux rigidus, and osteoarthritis, can affect MTP joint function. Surgical procedures designed to treat these problems in athletes include bunionectomy with chevron osteotomy for hallux valgus; bunionectomy, cheilectomy, exostosectomy, and synovectomy for hallux rigidus; and bone grafting for nonunion of the sesamoid. Thorough preoperative planning, meticulous surgical technique, and careful postoperative management and rehabilitation are essential, because sequelae that may be minor problems in nonathletes can be major complications for competitive athletes.
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