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Lesser metatarsophalangeal instability: presentation, management, and outcomes.

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Jul 28, 2012.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Lesser metatarsophalangeal instability: presentation, management, and outcomes.
    Foot Ankle Int. 2012 Jul;33(7):565-70.
    Peck CN, Macleod A, Barrie J.
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. drsha

    drsha Banned

    The findings of this article correlate well to the rigid/stable rearfoot/flexible forefoot FFT's that has been previously published ( http://www.zimbio.com/The stock mar...tional Foot Type Closed Chain Characteristics ) as the most common foot types presenting with single 2nd ray pathology and the flexible rearfoot/flexible forefoot FFT as the most common foot type presenting FFT presenting multiple ray pathology but always including the 2nd.

    This peer reviewed article reinforces foot centering theory.
    The advantage of utilizing functional foot typing to make diagnostic predictions that allow for preventive care is reinforced by this article.

    Dennis
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Stability of the metatarsophalangeal joint of the lesser toes: a cadaveric study.
    Suero EM, Meyers KN, Bohne WH.
    J Orthop Res. 2012 Dec;30(12):1995-8.
     
  5. drsha

    drsha Banned

    What if the plantar plate was simply stretched or lengthened but not injured?

    Wouldn't this elongated and distorted lever arm cause instability and the same clinical impact as a transection?

    I suggest that is the more common problem in lesser toe dysfunction than an actual "injury" or transection.

    If my suspicions are correct, then wouldn't a positional change in the architecture of the lesser MP Joints in the direction of reducing M-P Joint prominence cause Davis's Law to stabilize the plantar plate over time?

    Dennis
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Direct Plantar Plate Repair Technique
    Jeffrey E. McAlister, Christopher F. Hyer
    Foot Ankle Spec September 11, 2013 1938640013502723
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Etiology, Clinical Assessment, and Surgical
    Repair of Plantar Plate Tears

    Caio Nery et al
    Semin Musculoskelet Radiol 2016;20:204–212. (Full text)
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Current concepts in the treatment of metatarsophalangeal joint instability of the lesser toes: Review, surgical technique, and early outcomes
    James R. Jastifer et al
    Fuß & Sprunggelenk; 17 August 2017
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Biomechanical Evaluation of Suture Configurations in Lesser Toe Plantar Plate Repairs
    Fred T. Finney, MD, Simon Lee, MD, MPH, Jaron Scott, MSE, ...
    Foot & Ankle International February 20, 2018
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    One-Year Outcome Study of Anatomic Reconstruction of Lesser Metatarsophalangeal Joints.
    Cook JJ et al
    Foot Ankle Spec. 2019 Jun 11
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Lesser Metatarsophalangeal Instability: Diagnosis and Conservative Management of a Common Cause of Metatarsalgia
    Christopher W. Kinter MD, Christopher W. Hodgkins, MD
    Sports Health: A Multidisciplinary Approach March 30, 2020
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effect of Toe Exercises and Toe-grip Strength on the
    Treatment of Primary Metatarsalgia

    Kentaro Amaha et al
    Source
     
  13. scotfoot

    scotfoot Well-Known Member

    Kentaro Amaha et al 2020 present an interesting paper and conclude -

    "Toe function and metatarsalgia is improved by toe exercises, suggesting that they are closely related."

    The authors use a toe press device to measure toe flexor strength ( good ! ) but also talk about toe grip strength .

    Studies concerning the toe flexors would be more precise if a clear distinction could be made between the toe curl action and the toe press action since these are clearly different ,especially in terms of intrinsic involvement .
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Objectification of indications for surgical restoration of the plantar plate in the treatment of multiplanar static foot deformities accompanied by hammertoe deformity of the lesser toes using ultrasound
    Cherevtsov V.N., Blazhenko A.N., Bogdanov S.B., Ketov M.S.
    Source
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Lesser Metatarsophalangeal Joints Instability: A
    Comprehensive Literature Review

    Sherif Farid A Kamel, Togay Koç
    Journal of Foot and Ankle Surgery (Asia-Pacific) (2023): 10.5005/jp-journals-10040-1318
     
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