Lesser Metatarsophalangeal Joint Instability: Advancements in Plantar Plate Reconstruction

Abstract

The plantar plate and associated collateral ligaments are the main stabilizers of each of the lesser metatarsophalangeal joints. Although clinical examination and plain radiographs are usually sufficient to establish the diagnosis of a plantar plate tear, MRI or fluoroscopic arthrograms may help in specific cases. Recent results with a dorsal approach to plantar plate repair are promising with respect to pain relief and patient satisfaction.

Keywords: Collateral ligaments; Lesser metatarsophalangeal joint; Lesser metatarsophalangeal joint instability; Plantar plate; Plantar plate repair.