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so for the injection of how its limiters and hallux rigidus Iamp;#39;ve marked in the anatomy the first metatarsal the proximal phalanx and the tendon of extensor hallucis longus remember that the tendon of extensor hallucis brevis will come in laterally having already prepared the skin with iodine we will put the toe through a range of motion to visualize the actual motion of the joint for the injection we will disrupt the toe and look where the skin actually put us so I havenamp;#39;t prepared our injection distract the toe and then plantar flex just site slightly putting the toe on stretch the injection comes from a dorsal medial approach and advance the needle slowly looking to try and find the joint space needle goes in and advance the needle fairly gently remembering both the curvature of the metatarsal head and the concavity at the base the proximal phalanx once youamp;#39;re sure that youamp;#39;re in the joint and well away from the tendon inject has a bolus and then withd
