double-winged plantar pad

double-winged plantar pad

; DW/PMP modification of standard plantar metatarsophalangeal (PMP) pad, usually made of semicompressed felt; semicircular cutouts (wings) at first and fifth metatarsophalangeal joints deflect pressure to second, third and fourth metatarsophalngeal joints and metatarsal shafts; wings may be infilled by cushioning material, see Figure 1
Figure 1: Relationship angles of Haglund's deformity. x, superior calcaneal tuberosity angle; y, calcaneal inclination angle; z, total angle of Ruch. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).