Triggering of the lesser toes at a previously undescribed distal pulley system.

@article{Martin1998TriggeringOT,
  title={Triggering of the lesser toes at a previously undescribed distal pulley system.},
  author={Michael G. Martin and V R Masear},
  journal={Foot & ankle international},
  year={1998},
  volume={19 2},
  pages={113-7}
}
We have treated five patients with metatarsalgia and triggering of the lesser toes. This paper describes a mechanism of triggering that involves a previously undescribed flexor pulley system in the toes that is very similar to the pulley system in the fingers. The specific anatomy of the toe flexor pulleys is described based upon the dissections of 50 fresh-frozen cadaver toes. These pulleys were composed of transverse to obliquely oriented fibrous bands within the flexor sheaths from the… CONTINUE READING