Anatomic variations in the first ray: Part I. Anatomic aspects related to
bunion surgery. Scranton PE Jr. Rutkowski R. Clinical Orthopaedics & Related Research. (151):244-55, 1980 Sep. Dissection and roentgenographic findings in 35 nonoperative cadaveric and * freshly amputated feet were correlated with disorders of the first day--specifically the sesamoids. There are four noteworthy factors associated with first ray pathology. The most significant are axial rotation of the first metatarsal bone and degenerative changes at the Á first metatarsophalangeal joint. Significant anatomic variations can be correlated with failed bunion surgery. *
Original Text by Clifford R. Wheeless, III, MD.
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