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Foot Ankle Clin. 2014 Sep;19(3):385-405. doi: 10.1016/j.fcl.2014.06.013. Epub 2014 Jul 10.

Etiology and management of lesser toe metatarsophalangeal joint instability.

Author information

1
Department of Orthopaedic Surgery, University of Tennessee College of Medicine Chattanooga, 960 East Third Street, Suite 100, Chattanooga, TN 37403, USA.
2
Saint Alphonsus Coughlin Foot and Ankle Clinic, 1075 North Curtis Road, #300, Boise, ID 83706, USA; Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA 94143, USA. Electronic address: thefootmd@gmail.com.
3
Weil Foot & Ankle Institute, Des Plaines, IL 60016, USA.
4
Department of Orthopedics and Traumatology, UNIFESP - Federal University of Sao Paulo, Sao Paulo, Brazil.

Abstract

The terms crossover toe and lesser metatarsophalangeal joint instability both describe a deterioration of the soft tissue structures that give stability to the lesser MTP joints. Initial treatment regimens focused on indirect repair of the instability without addressing the primary pathology. A staging system of the clinical examination and a grading system of the surgical findings are now available to help surgeons classify and treat the plantar plate insufficiency. Improved imaging techniques and direct surgical repair techniques through a dorsal approach have changed the treatment and possibly the results of this difficult condition.

KEYWORDS:

Crossover toe; Drawer test; Lesser MTP joint instability; Plantar plate

PMID:
25129351
DOI:
10.1016/j.fcl.2014.06.013
[Indexed for MEDLINE]

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