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Plantar Plate Tears

Discussion in 'Biomechanics, Sports and Foot orthoses' started by mewenda, Jun 26, 2012.

  1. mewenda

    mewenda Member


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    Good Afternoon all,

    Would like some advice on plantar plate tears, have never treated this condition before.


    57 year old female client
    6 month history of left forefoot pain
    Nil history of trauma
    Pain while walking and standing on feet for lengths of time.

    Pain through 2nd/3rd/4th/5th metatarsals

    irritation and swelling of dorsal surface of PIPJ
    continued pain through metatarsal plantar surface


    Ultra sound diagnosis of plantar plate tears at the level of head of 2nd/3rd/4th metatarsals.

    I have no idea how to strap for plantar plate tears, wasn't too sure how effective it would be with multiple tears?

    Was thinking of an orthotic - EVA post to sulcus to provide a dorsiflexory force to metatarsals but also allowing plantarflexion to the digits?
    I have read some literature where this is the conservative treatment, not sure whether this would hasten the progression of the plantar tears?

    Please can I have some guidance?

    Thanking you in advance for your time!
     
  2. Admin2

    Admin2 Administrator Staff Member

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