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Hi All, just had my first case of plantar plate tear dx via ultrasound. The tear is 4mm full thickness.

Will begin trial of offloading and possibly taping the 2nd digit, but am wanting advise on how far to try and take conservative therapy before referring to a surgeon for opinion?
Any help would be fantastic, Ta
Liz

 

Try taping and putting in rigid post op shoe or similar with suitable offloading of the 2nd MTPJ.

Move to orthotic and stiff sole jogger etc after a few weeks.

If ongoing pain and instability after 2-3 months, then delayed primary repair is indicated. Exhaust conservative care first.

LL

 

Hi Liz

Any chance you could post the US images for us?

thanks


Martin


The St. James Foot Clinic
1749 Portage Ave.
Winnipeg
Manitoba
R3J 0E6
phone [204] 837 FOOT (3668)
fax [204] 774 9918
www.winnipegfootclinic.com

 

Hi Liz:
I'd be interested in what the forefoot looks like.
Is there subluxation? Abnormally long 2nd met?
What's the first ray look like?

I have to say, I have just never seen a non-sports related plantar plate injury on anyone who does not have a contracted 2nd MTPJ.

Anyone else?

Steve