Skip to main content
SpringerLink
Log in

Plantar Plate Repair via a Plantar Approach

  • Chapter
  • First Online:
Hammertoes

  • 541 Accesses

Abstract

Plantar plate dysfunction of the lesser digits can occur after a toe injury or from repetitive stress. The plantar plate underlying the second toe is most commonly affected and morphology can range from attenuation to an obvious tear. Plantar plate tears can be diagnosed from clinical exam and confirmed with advanced imaging. The pathological morphology can demonstrate a discrete tear or attenuation of the plate. The direct plantar approach allows for visualization and primary repair.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bouché RT, Heit EJ. Combined plantar plate and hammertoe repair with flexor digitorum longus tendon transfer for chronic, severe sagittal plane instability of the lesser metatarsophalangeal joints: preliminary observations. J Foot Ankle Surg. 2008;47:125–37.

    Article  Google Scholar 

  2. Klein EE, Weil L Jr, Weil LS Sr, et al. Clinical examination of plantar plate abnormality: a diagnostic perspective. Foot Ankle Int. 2013;34:800–4.

    Article  Google Scholar 

  3. Yu GV, Judge MS, Hudson JR, Seidelmann FE. Predislocation syndrome: progressive subluxation/dislocation of the lesser metatarsophalangeal joint. J Am Podiatr Med Assoc. 2002;92:182–99.

    Article  Google Scholar 

  4. Suero EM, Meyers KN, Bohne WHO. Stability of the metatarsophalangeal joint of the lesser toes. A cadaveric study. J Orthop Res. 2012;30:1995–8.

    Article  Google Scholar 

  5. Wang B, Guss AD, Ghalayon O, et al. Deep transverse metatarsal ligament and static stability of lesser metatarsophalangeal joints. Foot Ankle Int. 2015;36:573–8.

    Article  Google Scholar 

  6. Christensen JC, Jennings MM. Normal and abnormal function of the first ray. Clin Podiatr Med Surg. 2009;26:355–71.

    Article  Google Scholar 

  7. Klein EE, Weil L Jr, Weil LS Sr, Knight J. The underlying osseous deformity in plantar plate tears: a radiographic analysis. Foot Ankle Spec. 2013;6:108–18.

    Article  Google Scholar 

  8. Coughlin MJ, Schutt SA, Hirose CB, et al. Metatarsophalangeal joint pathology in crossover second toe deformity. A cadaveric study. Foot Ankle. 2012;33:133–40.

    Article  Google Scholar 

  9. Deland JT, Lee KT, Sobel M, DiCarlo EF. Anatomy of the plantar plate and its attachments in the lesser metatarsophalangeal joint. Foot Ankle Int. 1995;16:480–6.

    Article  CAS  Google Scholar 

  10. Thompson FM, Hamilton WG. Problems of the second metatarsophalangeal joint. Orthopedics. 1987;10:83–9.

    Google Scholar 

  11. Kaz AJ, Coughlin M. Crossover second toe: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007;28:1223–37.

    PubMed  Google Scholar 

  12. Blitz NM, Ford LA, Christensen JC. Second metatarsophalangeal joint arthrography: a cadaveric correlation study. J Foot Ankle Surg. 2004;43:231–40.

    Article  Google Scholar 

  13. Gregg J, Silberstein M, Schneider T, Marks P. Sonographic and MRI evaluation of the plantar plate: a prospective study. Eur Radiol. 2006;16:2661–9.

    Article  Google Scholar 

  14. Klein EE, Weil L Jr, Weil LS Sr, Knight J. Magnetic resonance imaging versus musculoskeletal ultrasound for identification and localization of plantar plate tears. Foot Ankle Spec. 2012;5:359–65.

    Article  Google Scholar 

  15. Klein EE, Weil L Jr, Weil LS Sr, Knight J. Musculoskeletal ultrasound for preoperative imaging of the plantar plate: a prospective analysis. Foot Ankle Spec. 2013;6:196–200.

    Article  Google Scholar 

  16. Feuerstein CA, Weil L Jr, Weil LS Sr, et al. Static versus dynamic musculoskeletal ultrasound for detection of plantar plate pathology. Foot Ankle Spec. 2014;7:259–65.

    Article  Google Scholar 

  17. Mazzuca JW, Yonke B, Downes JM, Miner M. Fluoroscopic arthrography versus MR arthrography of the lesser metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule: a prospective comparative study. Foot Ankle Int. 2013;34:200–9.

    Article  Google Scholar 

  18. Blitz NM, Ford LA, Christensen JC. Plantar plate repair of the second metatarsophalangeal joint: technique and tips. J Foot Ankle Surg. 2004;43:266–70.

    Article  Google Scholar 

  19. Ford LA, Collins KB, Christensen JC. Stabilization of the subluxed second metatarsophalangeal joint: flexor tendon transfer versus primary repair of the plantar plate. J Foot Ankle Surg. 1998;37:217–22.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Podiatric Section: Department of Orthopedics, Swedish Medical Center, Seattle, WA, USA

    Eric G. Powell, Melinda A. Bowlby & Jeffrey C. Christensen

Authors
  1. Eric G. Powell
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Melinda A. Bowlby
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jeffrey C. Christensen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Harvard Medical School, Mount Auburn Hospital, Cambridge, MA, USA

    Emily A. Cook

  2. Harvard Medical School, Mount Auburn Hospital, Cambridge, MA, USA

    Jeremy J. Cook

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Powell, E.G., Bowlby, M.A., Christensen, J.C. (2019). Plantar Plate Repair via a Plantar Approach. In: Cook, E., Cook, J. (eds) Hammertoes. Springer, Cham. https://doi.org/10.1007/978-3-319-16552-3_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-16552-3_17

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16551-6

  • Online ISBN: 978-3-319-16552-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation