Plantar plate injury Flashcards
1
Q
What does the plantar plate do?
A
- transverse ligament at the ball of the forefoot
- protect head of mets
- Prevents over extension
- helps keep alignment of toes
2
Q
Causes
A
- repetitive trauma to area
- Sudden increase in load
- Abnormal forefoot loading
3
Q
Signs and symptoms
A
- V sign
- floating toe, poor plantarflexion
- Pt may indicated walking on coins
- pain at plantar aspect of proximal phalanx
4
Q
Diagnosis
A
- Look for Sx
- Lachman AP drawer test
- palpation of joint space
- ultrasound and MRI
5
Q
Treatment
A
- plantarflexion taping
- footwear education
- RICE
- NSAIDs
- offloading MPJ
- intrinsic muscle strengthening
- Manage load