23 September 2025
: Case report 
Acupotomy to Treat Inversion of the Second Toe Combined with Eversion of the First Metatarsophalangeal Toe: A Case Report
Challenging differential diagnosis, Rare disease
Zehao Hu ABCEF 1, Hao Qin ACE 1, Qiuxuan Huang ACE 1, Zhanxin Li ABCEG 2*DOI: 10.12659/AJCR.949599
Am J Case Rep 2025; 26:e949599
Table 1 The specific acupotomy operation sites in the patient described within the manuscript.
| The acupotomy operation site | Specific location |
|---|---|
| The medial part of the first metatarsophalangeal joint | The site of medial joint capsule swelling, the attachment point of the medial collateral ligament, and the protruding part of the osteophyte |
| Attachment points of the adductor pollicis and abductor pollicis tendons | The lateral adductor pollicis insertion point on the first metatarsal head and the medial abductor pollicis insertion point |
| The flexor sheath of the second toe | At the thickening area of the sheath of the palmar flexor tendon of the proximal interphalangeal joint |
| The medial capsule of the second metatarsophalangeal joint | In the medial tension area |
| The intermetatarsal ligament | At the contracture area of the second and third intermetatarsal head ligament |