The medial collateral ligament of the first MTP joint connects the medial first metatarsal head to the medial base of the hallux proximal phalanx.
Resists lateral hallux deviation, constrains lateral displacement during push-off, and is the ligament progressively stretched in hallux valgus.
Progressively elongated in hallux valgus from lateral hallux deviation. Medial capsulorrhaphy tightens the medial MCL as part of hallux valgus soft tissue balancing.
Progressive medial MCL stretching addressed by medial capsulorrhaphy in hallux valgus correction.
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