Clin Surg | Volume 4, Issue 1 | Technical Tip | Open Access

First Metatarsophalangeal Joint Injections: The �Sulcus Sign� Technique

Talal Al-Jabri* and Charalambos Charalambides

Department of Surgery, The Whittington Hospital, UK

*Correspondance to: Talal Al-Jabri 

Fulltext PDF


A first metatarsophalangeal joint injection is a very useful diagnostic and therapeutic technique used in a range of pathologies afflicting this joint. We describe a novel technique for obtaining accurate intraarticular needle positioning which is simple to perform and avoids the morbidity associated with multiple injection attempts.


Al-Jabri T, Charalambides C. First Metatarsophalangeal Joint Injections:The �Sulcus Sign� Technique. Clin Surg.2019; 4: 2429.

Subscribe to Our Newsletter