Hammertoes and MTP Instability in the Athlete

Smith, W. Bret; Daubert, Rebecca

doi:10.1007/978-1-4899-7427-3_5

Cited by 2 publications

(5 citation statements)

References 15 publications

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“…3 In cases where taping is problematic, the joint can be stabilized with a Budin splint, which is a flat sole pad with an elastic band that wraps around the toe. 1,29,33…”

Section: Conservative Optionsmentioning

confidence: 99%

“…When the joint is no longer acutely inflamed, the patient can transition to sneakers with a metatarsal pad placed 3 to 4 cm posterior to the MTP joint (Figure 5). 3,6,9,31,33,40 These offloading pads should be worn along with sling-taping while the joint fully stabilizes. During this time, the patient is allowed to be ambulate freely.…”

Section: Conservative Optionsmentioning

confidence: 99%

“…The treatment approach should be individualized, with those involved in higher impact sports requiring more time. 33 Although recovery is lengthy, patients have even been able to resume their prior level of athletic ability. 17,29 A study using the strategy of offloading and immobilization in a postoperative shoe, followed by taping and offloading pads, allowed for resumption of prior athletic ability at 1 year.…”

Section: Conservative Optionsmentioning

confidence: 99%

“…2,26,28,33 During this time, the phalanx should be taped in a plantarflexed position, just as is recommended for conservative management. 2,26,28,33 Complete healing takes 3 to 6 months, during which time the patient should wear stiff-soled or rocker-bottom shoes to offload the joint. 2,28,33 High-impact sports should be avoided for 1 year, and return should be gradual.…”

Section: Surgical Optionsmentioning

confidence: 99%

“…2,26,28,33 Complete healing takes 3 to 6 months, during which time the patient should wear stiff-soled or rocker-bottom shoes to offload the joint. 2,28,33 High-impact sports should be avoided for 1 year, and return should be gradual. 28…”

Section: Surgical Optionsmentioning

confidence: 99%

See 4 more Smart Citations

Lesser Metatarsophalangeal Instability: Diagnosis and Conservative Management of a Common Cause of Metatarsalgia

Kinter

Hodgkins

2020

Sports Health: A Multidisciplinary Approach

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Context: Lesser metatarsophalangeal (MTP) instability is a common condition that can become debilitating and require surgery. Evidence Acquisition: An extensive literature review was performed through MEDLINE and Google Scholar for publications relating to the etiology, diagnosis, and treatment of lesser MTP instability using the keywords metatarsophalangeal instability, athlete, forefoot pain, and metatarsalgia from database inception to 2019. Study Design: Clinical review. Level of Evidence: Level 4. Results: Lesser MTP instability is a common condition, especially in the active and aging populations. It is frequently misdiagnosed, causing delays in treatment that allow for progressive pain and deformity, which prevents an active lifestyle. Fortunately, MTP instability can be diagnosed easily with the drawer test. Magnetic resonance imaging is helpful when still in doubt. Conservative treatment entails joint immobilization and gradual return to play with taping and offloading metatarsal pads. Conclusion: Lesser MTP instability is a common diagnosis. Its early detection and conservative treatment can help the patient regain their previous level of activity and avoid surgery.

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“…3 In cases where taping is problematic, the joint can be stabilized with a Budin splint, which is a flat sole pad with an elastic band that wraps around the toe. 1,29,33…”

Section: Conservative Optionsmentioning

confidence: 99%