Does anyone have any experience/ wisdom to share on this? I have an elite athlete who has suffered a stand-alone rupture of the lateral ligament of the 1st MPJ. No plantar plate involvement, nothing else on MRI. Athlete in multidirectional sport, and feels 1st MPJ is very unstable medially and dorsally in anything off straight line training 4 weeks out from the injury.
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Currently managed with a moulded brace with taping, followed by an orthotic with Morton's extension and medial wrap. Some progress with this, now introducing spacer between 1st/2nd and taping of medial 3 digits.
Surgeon has reported unwillingness to repair... any ideas?
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