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Papers of the Week


2022 Apr


Clin Podiatr Med Surg


39


2

Lesser Metatarsophalangeal Plantar Plate Repair.

Authors

Hyer CF, Consul D, McAlister JE, Cottom JM
Clin Podiatr Med Surg. 2022 Apr; 39(2):167-185.
PMID: 35365322.

Abstract

Lesser toe plantar plate injuries at the metatarsophalangeal (MTP) joint are a common source of metatarsalgia. Chronic pain with weight-bearing is the common presentation of lesser toe instability. Deformity occurs when the plantar plate is torn or attenuated. Crossover toe and MTP instability often occur with multiplane deformity, most commonly with dorsal contracture of the second toe and medial drift over the Hallux. In this article, the authors present a comprehensive stepwise approach to diagnosing and treating plantar plate injuries using both dorsal and plantar approach techniques.