Seven @entity1 presented with @entity158 in the metatarsal head region, with an average age of 57 years, and no history of @entity130 . Six had @entity158 in the second metatarsophalangeal joint, while one @entity1 had @entity158 in the third. Physical examination demonstrated generalized thickening of the involved metatarsophalangeal joint along with warmth and tenderness to compression. Range of motion was decreased in flexion and two @entity1 had a subluxed metatarsophalangeal joint. All @entity1 demonstrated some instability of the joint with dorsoplantar stress. Palpation of the intermetatarsal space demonstrated some evidence of irritation of the common digital nerve. The toe demonstrated some thickening. Roentgenograms demonstrated some widening of the metatarsophalangeal joint in four of these @entity1 . One @entity1 responded to conservative treatment, and the remaining six @entity1 underwent synovectomy. In three cases the common digital nerve was resected. Follow-up was 16 months, and four of the six @entity1 operated on felt their symptoms were completely relieved, one @entity1 felt that the symptoms were improved, and one @entity1 believed her surgery was of no benefit. Synovial tissue in all cases revealed pathologic changes of chronic @entity603 . The etiology of this @entity603 is unknown. The excessive synovium resulted in the joint thickening, which probably accounts for the neuritic symptoms, the generalized thickening of the toe, and the instability of the joint. Because of the poor response to conservative treatment, perhaps earlier synovectomy is the treatment of choice for this entity.

Monarticular nontraumatic XXXX of the metatarsophalangeal joint: a new diagnosis?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity603 :: ('MESH:D013585', 'Disease') :: ['synovitis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity158 :: ('MESH:D010146', 'Disease') :: ['forefoot pain', 'pain']
@entity603 :: (MESH:D013585,Disease) :: ['synovitis']
