Positive Drawer Test Combined With Radiographic Deviation of the Third Metatarsophalangeal Joint Suggests High Grade Tear of the Second Metatarsophalangeal Joint Plantar Plate

Abstract

Diagnostic, Level II.

Association of Abnormal Metatarsal Parabola With Second Metatarsophalangeal Joint Plantar Plate Pathology

“…AP radiographs were analyzed for metatarsus adductus angle ( Figure 2), 9 first and second intermetatarsal angle (IMA), talocalcaneal angle, calcaneocuboid abduction angle, talo-first metatarsal angle, hallux valgus angle, and second and third MTP joint deviation angles (Figure 3). 15 Lateral radiographs were examined for calcaneal inclination angle, talar declination angle, first metatarsal declination angle, fifth metatarsal declination angle, talo-first metatarsal (Meary's) angle, Seiberg index, 24,25 and hallux equinus angle (Figures 4 and 5). 24 All measurements were performed as described by Thomas et al, 28 unless otherwise indicated.…”

Conservative Management of Second Metatarsophalangeal Joint Instability in a Professional Dancer: A Case Report

“…It is considered the most accurate clinical test for diagnosing second MTP joint pathology (sensitivity, 91.5%; specificity, 99.8%). 41,71 Magnetic resonance imaging (MRI) and ultrasound are appropriate modalities for imaging of the plantar plate. Ultrasound is a more sensitive exam (ultrasound sensitivity, 91.5%; MRI sensitivity, 73.9%), but MRI is a more specific exam (MRI specificity, 100%; ultrasound specificity, 25%).…”

“…2,11,28,33,48,66,69,79 It is the most commonly used generic tool in the orthopaedic literature 3 and is often considered the gold standard by which other foot and ankle outcome tools are measured. 13,45,67 The DFOS is a dance-specific lower extremity questionnaire developed upon finding ceiling effects and problems with validity when using region-specific and sport-specific measures on dancers. 10 The tool assesses a dancer's ability to accomplish activities of daily living or dance movements.…”

Anatomic Repair of Plantar Plate With Flexor Tendon Sheath Reinforcement

“…The authors showed a combination positive drawer test of second MTPJ and transverse deviation of the third MTPJ on plain films suggested an underlying high-grade plantar plate tear of the second MTPJ. 2,3 These studies also highlighted the need for advanced imaging to distinguish between high-and low-grade tears. Klein Anatomic Repair of Plantar Plate With Flexor Tendon Sheath Reinforcement static images to diagnose subtle injuries in the forefoot.…”