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Lesser Metatarsophalangeal Joint Instability: Open Surgery Treatment Alternatives.

Daniel Baumfeld1, Caio Nery2

  • 1Department Locomotor Apparatus, Federal University of Minas Gerais, UFMG, Brazil.

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Summary
This summary is machine-generated.

Lesser metatarsophalangeal joint plantar plate tears cause capsuloligamentous deficiency. Understanding injury patterns and surgical options aids treatment for middle-aged patients and athletes.

Keywords:
Crossover toeLesser metatarsophalangeal joint instabilityLesser toe deformityPlantar plate injury

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Foot and Ankle Surgery

Background:

  • Lesser metatarsophalangeal joint plantar plate degeneration and tears are common.
  • These injuries often present as attritional capsuloligamentous deficiency.
  • They affect middle-aged individuals and athletes with chronic injuries.

Purpose of the Study:

  • To provide an overview of surgical treatment alternatives for metatarsophalangeal joint instability.
  • To aid imaging interpretation in the preoperative setting by detailing injury patterns and classifications.
  • To guide clinical decision-making based on injury characteristics and patient needs.

Main Methods:

  • Review of anatomy and pathophysiology of plantar plate injuries.
  • Discussion of common injury patterns, grading, and classification systems.
  • Overview of open surgical treatment options and techniques.

Main Results:

  • Knowledge of injury characteristics is crucial for surgical planning.
  • Surgical management is influenced by injury acuity, extent, tissue quality, and patient function.
  • Various open surgical techniques exist to address metatarsophalangeal joint instability.

Conclusions:

  • Comprehensive understanding of plantar plate injuries is essential for effective surgical management.
  • Tailoring surgical approach to individual patient factors optimizes outcomes.
  • Open surgical interventions offer viable solutions for metatarsophalangeal joint instability.