Panmetatarsal head resection [22] (or resection of the lesser metatarsal heads) and fusion of the first metatarsophalangeal is a salvage procedure for recurrent ulceration under the metatarsal ...

and radiographs showed stage 4 OCD of the first metatarsal head with a detached osseous fragment. Diagnostic arthroscopy confirmed the presence of OCD, and treatment included arthrotomy, excision ...