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Imaging Considerations in Differentiating Plantar Plate Pathology and Webspace Neuroma
Rodrigo O C Aguiar1, Hilary Umans2
1Department of Radiology, Hospital das Clínicas, Universidade Federal do Paraná and Clínica DAPI, 122 Brigadeiro Franco, Curitiba - Paraná, 80430-210, Brazil.
Clinics in Podiatric Medicine and Surgery
|May 28, 2026
Summary
Differentiating plantar plate (PP) tears and degeneration from webspace neuromas is challenging. Both conditions can cause similar symptoms due to reactive soft tissue thickening, complicating diagnosis.
Area of Science:
- Orthopedics
- Radiology
- Podiatry
Background:
- Lesser toe pathologies are common.
- Plantar plate (PP) degeneration and tears can cause neuritic symptoms.
- Reactive pericapsular soft tissue thickening (pseudoneuroma) often accompanies PP issues, mimicking webspace neuromas.
Purpose of the Study:
- To review the differential diagnosis between plantar plate (PP) degeneration/tear and webspace neuroma.
- To highlight the role of pseudoneuroma in PP dysfunction.
- To compare clinical and imaging findings of these entities.
Main Methods:
- Review of clinical presentations.
- Analysis of radiographic findings.
- Evaluation of sonographic and MRI characteristics.
- Correlation with acquired toe deformities.
Main Results:
- PP tears and degeneration with pseudoneuroma can present similarly to webspace neuromas.
- Distinct imaging features may differentiate these conditions.
- Specific acquired toe deformities are associated with PP dysfunction.
Conclusions:
- Accurate radiological diagnosis is crucial for differentiating PP pathology from webspace neuroma.
- Understanding pseudoneuroma's role is key in PP-related neuritic symptoms.
- Imaging modalities like ultrasound and MRI aid in diagnosis and management planning.
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