Dorsiflexed first ray / metatarsus primus elevatus

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Dorsiflexed first ray

Also called metatarsus primus elevatus

Osseous or soft tissue deformity in which the first ray lies in a dorsiflexed position relative to the lessor rays when the subtalar joint is in its defined neutral position and the defined locked position of the MTJ.

May be congenital or acquired
Acquired due to contracture of tibialis anterior and may be associated with forefoot supinatus.


See definition.
Congenital generally has a larger ROM

First ray cannot plantarflex during gait  MPJ can’t dorsiflex  dorsal jamming of MPJ and proximal compensations

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