Metatarsophalangeal Joint Instability of the Lesser Toes

Jesse Doty, Michael J. Coughlin

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

Metatarsophalangeal joint instability of the lesser toes is a common finding and a common cause of metatarsalgia. The clinical presentation can include swelling without digital deformity; however, often, this can progress to the development of coronal and transverse plane malalignment. In some cases, frank metatarsophalangeal joint dislocation can develop. The treatment regimen has historically focused on indirect surgical realignment using soft tissue release, soft tissue reefing, tendon transfers, and periarticular osteotomies. An improved understanding of the plantar plate has recently led to the development of a clinical staging system and surgical grading system of plantar plate attenuation. A dorsal surgical approach, using a Weil osteotomy, allows the surgeon to directly access and repair or advance the plantar plate to the base of the proximal phalanx. The addition of direct plantar plate repair could be a significant advancement in the reconstruction and realignment of metatarsophalangeal joint instability.

Original languageEnglish (US)
Pages (from-to)440-445
Number of pages6
JournalJournal of Foot and Ankle Surgery
Volume53
Issue number4
DOIs
StatePublished - Jan 1 2014

Fingerprint

Metatarsophalangeal Joint
Joint Instability
Toes
Osteotomy
Metatarsalgia
Tendon Transfer
Joint Dislocations
Plantar Plate

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Metatarsophalangeal Joint Instability of the Lesser Toes. / Doty, Jesse; Coughlin, Michael J.

In: Journal of Foot and Ankle Surgery, Vol. 53, No. 4, 01.01.2014, p. 440-445.

Research output: Contribution to journalReview article

Doty, Jesse ; Coughlin, Michael J. / Metatarsophalangeal Joint Instability of the Lesser Toes. In: Journal of Foot and Ankle Surgery. 2014 ; Vol. 53, No. 4. pp. 440-445.
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