We have previously discussed the relationship of the first metatarsal and bunions to problems with the second toe and the second metatarsal. This includes dislocation of the second metatarsal phalangeal joint (MTP joint) the same basic premise applies. We have to address both the dislocation of the second MTP joint directly and we also have to realign and repair the entire first metatarsal and the bunion. This may involve stabilizing the first metatarsal cuneiform joint with a fusion as part of the bunion repair.

Regarding the second MTP joint, we often would have to consider a plantar plate repair (capsule repair) or direct repair of the capsule and possible transfer of the flexor tendon that goes to the tip of the second toe and on the bottom of the joint. We utilized this tendon to help keep the toe from dislocating upward out of position.

If you have concerns regarding bunions or second toe problems or even capsulitis specifically, we would be happy to see you in consultation either myself, or my partner Dr. Nelson.

A bunion is due to a number of different conditions but one of them is the entire first metatarsal being out of alignment. The metatarsal becomes out of alignment including the entire metatarsal becoming elevated. When this happens the next weightbearing bone over which is the second metatarsal gets disproportionate pressure. The second metatarsal and the second MTP joint or second metatarsophalangeal joint is not designed for that increase weightbearing pressure and stress.

When this happens usually either the individual gets capsulitis or even a dislocated second MTP joint, a stress fracture of the second metatarsal, or arthritis of the midfoot where the second  metatarsal meets the rest of the foot. Therefore as part of the treatment for severe cases we usually have to correct the bunion and get the first metatarsal back into alignment to shift pressure off the next in line second metatarsal.  

If you have concerns regarding bunions or second toe problems or even capsulitis specifically, we would be happy to see you in consultation either myself, or my partner Dr. Nelson.

Give us a call at 425-391-8666 or contact us online for an appointment today.