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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

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Operative Management: Plantar Plate.

Brett D Sachs1, Laura B Adler2, Robert J Cavaliere2

  • 1Rocky Mountain Foot & Ankle Center, 7615 W. 38th Avenue, Suite B101, Wheat Ridge, CO 80033, USA; Highlands-Presbyterian, St. Luke's Podiatric Medicine and Surgery Residency Program, 1719 East 19th Avenue, Denver, CO 80218, USA.

Clinics in Podiatric Medicine and Surgery
|June 18, 2022
PubMed
Summary
This summary is machine-generated.

Plantar plate insufficiency can lead to lesser metatarsophalangeal joint instability and deformities like crossover toe. Early recognition of this "predislocation syndrome" is key to preventing further progression.

Keywords:
Crossover toeLesser metatarsophalangeal joint instabilityMetatarsalgiaPlantar platePredislocation syndrome

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Area of Science:

  • Orthopedic Surgery
  • Podiatry
  • Biomechanics

Background:

  • The plantar plate is crucial for lesser metatarsophalangeal joint (MPJ) stability.
  • Its attenuation can lead to sagittal and transverse plane deformities, such as crossover toe.
  • Predislocation syndrome describes early inflammatory stages of plantar plate issues.

Purpose of the Study:

  • To review the role of the plantar plate in MPJ stability.
  • To discuss the progression from plantar plate insufficiency to crossover toe deformity.
  • To highlight the concept of predislocation syndrome.

Main Methods:

  • Literature review of biomechanical and clinical studies.
  • Analysis of descriptive terminology for MPJ deformities.
  • Synthesis of information on plantar plate pathology.

Main Results:

  • Plantar plate insufficiency is a primary cause of MPJ instability.
  • Deformity progression includes sagittal plane issues followed by transverse plane crossover toe.
  • Predislocation syndrome represents an inflammatory precursor to MPJ subluxation.

Conclusions:

  • Maintaining plantar plate integrity is essential for MPJ stability.
  • Understanding the progression from predislocation syndrome to crossover toe is clinically important.
  • Early diagnosis and management of plantar plate pathology can prevent severe deformities.