plantar plate rupture

plantar plate rupture

traumatic division or partial division of plantar plate at 2/3/4/5 metatarsophalangeal joints (MTPJs); associated with a long second metatarsal/short first metatarsal, inflammatory arthropathies, diabetes mellitus, age-related joint degeneration and overuse injury; more common in women; 2 MTPJ is most commonly affected, presenting as pain at the base of the second toe, with synovitis of the 2 MTPJ following a trip, stumble or excess exercise; second toe gradually moves into hammered position; for diagnosis, vertical stress test is positive; arthrogram shows leak of imaging fluid beyond normal joint margins; treated by conservative treatments (soft splinting, accommodative U'd plantar padding, exercises to strengthen interossei, non-steroidal anti-inflammatory drugs) or surgical intervention (digital correction with flexor-to-extensor tendon transfer and repair of plantar plate tear)
References in periodicals archive ?
Here, we report a case of interdigital neuroma in the second intermetatarsal space accompanied with MTP joint instability of the second and third toes due to plantar plate rupture.
Recently, the direct repair of plantar plate rupture through a dorsal approach has been established with good clinical outcome [6, 7, 38].