{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:55:15Z","timestamp":1791474915194,"version":"4.3.4"},"reference-count":7,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>First metatarsophalangeal arthrodesis has been used to treat various pathologies of the great toe with good clinical outcome. First metatarsal head metatarsalgia can occur after first metatarsophalangeal arthrodesis. Surgery is indicated if conservative measures cannot alleviate the symptoms. If there is isolated excessive plantar pressure of the first metatarsophalangeal joint without significant sagittal deformity of the first metatarsophalangeal joint, plantar partial ostectomy of the sesamoid bone(s) is indicated. The purpose of this technical note is to describe the technical details of endoscopic plantar partial sesamoidectomy for the management of metatarsalgia of the first metatarsal head after arthrodesis of the first metatarsophalangeal joint. This all\u2010endoscopy approach allows partial ostectomy of the sesamoid bone from its plantar side dorsally and is a more direct approach than arthroscopic sesamoidectomy to eliminate the plantar pressure point. The extent of partial ostectomy can be titrated according to the intraoperative assessment of plantar pressure distribution across the metatarsal heads. The aim is to eliminate the pressure point underneath the first metatarsal head without excessive bone removal and create excessive pressure underneath the second metatarsal head.<\/jats:p>","DOI":"10.1002\/atn2.70308","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:21:32Z","timestamp":1791472892000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Plantar Partial Sesamoidectomy for the Management of Metatarsalgia of the First Metatarsal Head After Arthrodesis of the First Metatarsophalangeal Joint"],"prefix":"10.1002","author":[{"given":"Xiaohua","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The Second Affiliated Hospital of Shenzhen University, Institute of Clinical Translation and Regenerative Medicine, Bao'an District Clinical Medical Research Center for Trauma The People's Hospital of Baoan Shenzhen  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5942-8958","authenticated-orcid":false,"given":"Tun Hing","family":"Lui","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The Second Affiliated Hospital of Shenzhen University, Institute of Clinical Translation and Regenerative Medicine, Bao'an District Clinical Medical Research Center for Trauma The People's Hospital of Baoan Shenzhen  Shenzhen China"},{"name":"Department of Orthopaedics and Traumatology North District Hospital  Sheung Shui Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles Churk Hang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology North District Hospital  Sheung Shui Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4282-0838","authenticated-orcid":false,"given":"Amanda Mun Yee","family":"Slocum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology North District Hospital  Sheung Shui Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingsong","family":"Hong","sequence":"additional","affiliation":[{"name":"Foot and Ankle Department The First Affiliated Hospital of Jinan University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The Second Affiliated Hospital of Shenzhen University, Institute of Clinical Translation and Regenerative Medicine, Bao'an District Clinical Medical Research Center for Trauma The People's Hospital of Baoan Shenzhen  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The Second Affiliated Hospital of Shenzhen University, Institute of Clinical Translation and Regenerative Medicine, Bao'an District Clinical Medical Research Center for Trauma The People's Hospital of Baoan Shenzhen  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"e1631","article-title":"Arthroscopic sesamoidectomy and plantar metatarsal head bone shaving in management of first metatarsal head metatarsalgia after first metatarsophalangeal fusion","volume":"12","author":"Chan SK","year":"2023","journal-title":"Arthrosc Tech"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1053\/j.jfas.2018.03.044","article-title":"Sesamoidectomy for hallux sesamoid disorders: A systematic review","volume":"57","author":"Shimozono Y","year":"2018","journal-title":"J Foot Ankle Surg"},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"7687","DOI":"10.3390\/jcm14217687","article-title":"Avoiding hallux sesamoidectomy: A narrative review","volume":"14","author":"Nakajima K","year":"2025","journal-title":"J Clin Med"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1177\/10711007241264239","article-title":"Early functional outcomes and complications of tibial and\/or peroneal sesamoidectomy utilizing a burr through a medial approach","volume":"45","author":"Engasser WM","year":"2024","journal-title":"Foot Ankle Int"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1053\/j.jfas.2021.06.004","article-title":"Arthroscopic sesamoidectomy for hallux sesamoid disorders","volume":"61","author":"Nakajima K","year":"2022","journal-title":"J Foot Ankle 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