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MTP Joint Capsulitis M65.879

 
ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:MTP joint capsulitis, metatarsophalangeal capsulitis, metatarsalgia, MTP synovitis, metatarsophalangeal synovitis

Metatarsophalangeal Joint Capsulitis ICD-9

Metatarsophalangeal Joint Capsulitis Etiology / Epidemiology / Natural History

  •  Typically caused by overload of the lesser MTP joints.

Metatarsophalangeal Joint Capsulitis Anatomy

  •  50% of the forefoot weight bearing load is carried by the great toe/1st MTP joint/1st metatarsal. 50% is carried by the second third fourth and fifth metatarsals.

Metatarsophalangeal Joint Capsulitis Clinical Evaluation

  •  Pain and swelling around the lessor MTP joints.

Metatarsophalangeal Joint Capsulitis Xray / Diagnositc Tests

  •  Weight-bearing AP, lateral and oblique views of the foot.  Generally normal.
  • MRI: generally demonstrates soft tissue swelling and effusion around the MTP joints +/- bone bruising in the metatarsal head.

Metatarsophalangeal Joint Capsulitis Classification / Treatment

  • Orthotics, nsaids, activity modifications, gastroc streches, night splint.  .  Avoid going barefoot.
  • Custom full length orthotic with metatarsal region relief

Metatarsophalangeal Joint Capsulitis Associated Injuries / Differential Diagnosis

  • Metatarsal Stress fracture
  • MTP joint osteoarthritis
  • Gout
  • Intermetatarsal neuroma

Metatarsophalangeal Joint Capsulitis Complications

Metatarsophalangeal Joint Capsulitis Follow-up Care

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Metatarsophalangeal Joint Capsulitis Review References