SciELO - Scientific Electronic Library Online

 
vol.13 número2Atlanto-axial fusion: Magerl transarticular versus Harms instrumentation techniquesThe management of chronic osteomyelitis: Part I - Diagnostic work-up and surgical principles índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google

Compartir


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

Resumen

JASTIFER, James R  y  COUGHLIN, Michael J. Metatarsophalangeal joint instability of the lesser toes: review and surgical technique. SA orthop. j. [online]. 2014, vol.13, n.2, pp.35-41. ISSN 2309-8309.

Metatarsalgia of the lesser toes is commonly caused by metatarsophalangeal (MTP) joint instability. The clinical presentation varies but often includes pain on the plantar aspect of the forefoot that often progresses to the development of coronal and transverse plane malalignment. In some cases, frank MTP joint dislocation can develop. Operative treatment has historically included indirect surgical realignment utilising soft tissue release, soft tissue reefing, tendon transfer, and periarticular osteotomies. An improved understanding of plantar plate tears has recently led to the development of a clinical staging and anatomic grading system that helps guide treatment. A dorsal surgical approach, With the exposure augmented utilising a Weil osteotomy, allows the surgeon to directly access and repaid the plantar plate. Early clinical results suggest that direct plantar plate repair may be a significant advancement in the reconstruction and realignment of lesser MTP joint instability.

Palabras clave : lesser toe instability; crossover toe; plantar plate; MTP instability; forefoot.

        · texto en Inglés     · Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons