The first MTP joint capsule provides complete joint containment and is divided and repaired strategically in hallux valgus correction. The lateral capsule release and medial capsule-periosteum imbrication are key steps in the Chevron, Scarf, and Lapidus osteotomy procedures for hallux valgus correction. The plantar plate and sesamoid complex are integral components of the capsular complex.
| Origin | First metatarsal neck (dorsal, medial, lateral, and plantar) |
|---|---|
| Insertion | Proximal phalangeal base of the great toe — capsule reinforced by the collateral ligaments and plantar plate |
| Actions | Great toe MTP joint containment; the medial capsule is reinforced in hallux valgus correction surgery |
|---|
Hallux valgus correction requires careful lateral capsular release (to allow medial correction of the metatarsal head) combined with medial capsular advancement (to provide medial soft tissue tension). Overcorrection producing hallux varus from excessive lateral release or overtight medial imbrication is a recognised complication requiring corrective procedures.
First MTP capsule lateral release and medial imbrication combined with metatarsal osteotomy corrects hallux valgus deformity.
This website uses cookies to enhance your experience. Some are essential for site functionality, while others help us analyze and improve your usage experience. Please review your options and make your choice.
If you are under 16 years old, please ensure that you have received consent from your parent or guardian for any non-essential cookies.
Your privacy is important to us. You can adjust your cookie settings at any time. For more information about how we use data, please read our privacy policy. You may change your preferences at any time by clicking on the settings button below.
Note that if you choose to disable some types of cookies, it may impact your experience of the site and the services we are able to offer.
Some required resources have been blocked, which can affect third-party services and may cause the site to not function properly.
This website uses cookies to enhance your browsing experience and ensure the site functions properly. By continuing to use this site, you acknowledge and accept our use of cookies.
