The Posttraumatic Tarsometatarsal Joints

Lant Abernathy; Steven A Tocci; Ryan T Scott

doi:10.1016/j.cpm.2023.05.003

The Posttraumatic Tarsometatarsal Joints

Clin Podiatr Med Surg. 2023 Oct;40(4):581-592. doi: 10.1016/j.cpm.2023.05.003. Epub 2023 Jun 28.

Authors

Lant Abernathy¹, Steven A Tocci², Ryan T Scott²

Affiliations

¹ The CORE Institute Advanced Foot and Ankle Reconstruction Fellowship, The CORE Institute, 9321 W Thomas Road Suite 205, Phoenix, AZ 85037, USA. Electronic address: lant.abernathy54@gmail.com.
² The CORE Institute Advanced Foot and Ankle Reconstruction Fellowship, The CORE Institute, 9321 W Thomas Road Suite 205, Phoenix, AZ 85037, USA.

PMID: 37716738
DOI: 10.1016/j.cpm.2023.05.003

Abstract

Tarsometatarsal joint injuries can be painful and debilitating and are most commonly due to direct or indirect trauma. Posttraumatic arthritis is a well-known long-term complication, with incidence as high as 58%. Conservative treatment options include shoe modifications, orthotic inserts, topical or oral anti-inflammatories, and intra-articular corticosteroid injections. There are various joint prep and fixation techniques reported in the literature, many with positive clinical and radiographic outcomes. This article discusses nonoperative and operative management of posttraumatic tarsometatarsal joint arthritis, reviews available literature, and includes the authors' tips and techniques.

Keywords: Midfoot arthrodesis; Midfoot fusion; Osteoarthritis; Tarsometatarsal.

Publication types

Review

MeSH terms

Arthritis*
Conservative Treatment
Foot Joints
Humans
Shoes