Lesser Toe Deformities

Shirzad, Khalid; Kiesau, Carter D.; DeOrio, James K.; Parekh, Selene G.

doi:10.5435/00124635-201108000-00006

Cited by 118 publications

(92 citation statements)

References 26 publications

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“…MTP dislocations are often noted in 2nd toes in association with hallux valgus deformities, especially in patients with a long second MT relative to the 1st MT [6, 7]. In rheumatoid feet multiple claw toe deformities and associated MTP dislocations are common [8].…”

Section: Discussionmentioning

confidence: 99%

Metatarsal Shaft Fracture with Associated Metatarsophalangeal Joint Dislocation

Tung¹

2016

Case Reports in Orthopedics

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Section: Discussionmentioning

confidence: 99%

Metatarsal Shaft Fracture with Associated Metatarsophalangeal Joint Dislocation

Tung¹

2016

Case Reports in Orthopedics

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“…This may be associated with callosities on the tip of the toe and pressure on the nail. 7 The mallet deformity is flexible in the early stages, but as the collaterals and capsule tighten the deformity becomes fixed.…”

Section: Pathology and Deformitymentioning

confidence: 99%

“…Treatment consists largely of footwear modification: using wider shoes with a larger toe box region may help alleviate symptoms and prevent progression of the deformities. 7 Pressure areas may be relieved by toe sleeves and padding over the dorsum of the PIPJ and under the MT heads. 23 Metatarsal off-loading insoles may also be used.…”

Section: Non-operative Treatmentmentioning

confidence: 99%

The pathology and management of lesser toe deformities

2016

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Deformities of the lesser toes are common and can be associated with significant morbidity. These deformities are often multiple, and numerous treatment strategies have been described in the literature.The goal of surgical treatment is to improve symptoms by restoring alignment and function, and avoiding recurrence. In order to achieve this, it is essential for the treating surgeon to understand the normal anatomy and pathology of the various deformities.There is a paucity of prospective studies and randomisedcontrolled trials assessing the efficacy of specific interventions.We describe the normal anatomy and biomechanics of the lesser toes, and the pathology of commonly adult deformities. The rationale behind various treatment strategies is discussed and the results of published literature presented. Algorithms for the management of lesser toe deformities based on current literature are proposed.

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“…Los adipocitos contenidos en las celdas plantares se inflaman y provocan el dolor 16 . Tambien puede ocurrir que exista una migración de la grasa subcapital secundaria a la luxación metatarsolfalángica, El almohadillado graso plantar pierde eficacia amortiguadora encontrándose disminuida la capacidad de absorción de presión, que recae directamente sobre la cabeza metatarsal, dando una de las etiologías de la metatarsalgia [15][16][17] .…”

Section: Diagnóstico Diferencialunclassified

“…Una vez se ha agotado la vía conservadora, se procederá a la intervención quirúrgica, consistente en la reducción de la deformidad en el plano sagital y/o transverso, con la realización de artroplastia, artrodesis, liberación de la AMTF y/o la transposición de los tendones flexores y reparación de la cápsula, plato glenoideo y estructuras adyacentes dañadas 1,2,3,6,8,[14][15][16][17] , dependiendo del grado lesivo en el que nos encontremos.…”

Section: Tratamiento Quirúrgicounclassified

Sinovitis de la segunda articulación metatarsofalángica: actualización

Gómez

Gutierrez

López‐López

et al. 2016

Rev. Int. Cienc. Podol.

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Los autores declaran no tener ningún tipo de interés económico o comercial. RESUMENEn las consultas de podología es común la existencia de numerosos procesos patológicos que desarrollan episodios inflamatorios en la cápsula articular de las articulaciones metatarsofalángicas (AMTF) y de sus estructuras vecinas como el plato glenoideo o los ligamentos colaterales, pero no son reconocidas claramente. Diferentes autores lo han explicado como el compromiso articular generado por un proceso de inestabilidad de etiología diversa y que evoluciona en diferentes estadíos, cada uno de los cuales posee diferentes grados de afectación a nivel de esa articulación. Esta patología se localiza en la articulación metatarsofalángica del segundo dedo con mayor prevalencia sobre el tercero en la mayoría de los casos de la bibliografía consultada, siendo reconocida como una de las causas potenciales de metatarsalgias. Los procesos biomecánicos anómalos que sobrecargan las estructuras de antepie pueden provocar una inflamación de la cápsula sinovial que delimita la articulación, disminuyendo progresivamente la movilidad del dedo y agravando la progresión de la patología. Palabras clave: sinovitis; articulación metatarsofalángica; cápsula articular; plato glenoideo; subluxación. ABSTRACTIn podiatric clinics is very common to find inflamatory process in metatarsophalangeal joint capsule , plantar plate and collateral ligaments damage, but it is not clearly recognized. Many authors hipotetized with joint instability of multiple aetiology and his concomitant evolution in different stages with own joint disease. This pathology has more incidence in second metatarsophalangeal joint than third and others and it is a common etiology of metatarsal pain. Bad biomechanics alters forefoot function and can produce overload in capsular joint, decreasing mobility and getting worse the pathology. Key words: synovitis; metatarsophalangeal joint; joint capsule; plato glenoid; subluxation.

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Lesser Toe Deformities

Cited by 118 publications

References 26 publications

Metatarsal Shaft Fracture with Associated Metatarsophalangeal Joint Dislocation

Metatarsal Shaft Fracture with Associated Metatarsophalangeal Joint Dislocation

The pathology and management of lesser toe deformities

Sinovitis de la segunda articulación metatarsofalángica: actualización

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