Approaches to metatarsophalangeal joints of second to fifth toes. A, Skin incision. B, Incision through deep fascia medial to tendons. C, Longitudinal incision in joint capsule. D, Joint is exposed. (Modified from Hoppenfeld S, deBoer P: Surgical exposures in orthopaedics: the anatomic approach, Philadelphia, 2003, Lippincott Williams & Wilkins.) SEE TECHNIQUE 1.12.