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Metatarsophalangeal Joint Pathology in Crossover 2nd Toe Deformity: A Cadaveric Study

Discussion in 'Foot Surgery' started by Kevin Kirby, Feb 12, 2012.


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    I just read an excellent cadaver study on correlating crossover 2nd toe deformity to plantar plate and MPJ collateral ligament tears that I believe all podiatrists should be aware of.

     
  2. Admin2

    Admin2 Administrator Staff Member

  3. drsarbes

    drsarbes Well-Known Member

    Thanks Kevin.
    Which do you think came first, the dorsal subluxation causing the tear, or the tear causing instability and dorsal subluxation?

    I'm not sure how you repair these, but I always perform a shortening osteotomy on the 2nd. I rarely actually look for a plantar plate tear, I just assume it's there. No repair on the plantar plate necessary.

    Steve
     
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    Articles:
    1
    Correction of crossover deformity of second toe by combined plantar plate tenodesis and extensor digitorum brevis transfer: a minimally invasive approach.
    Lui TH.
    Arch Orthop Trauma Surg. 2011 Sep;131(9):1247-52
     
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