MPJ Pathology Flashcards
Hyperextension of 1st MTPJ
Turf Toe
Hyperextension can tear the _______
plantar plate
Classification-Guides Treatment
Grade I
Plantar plate is intact
Brusing
- Return to play with protection
Classification-Guides Treatment
Grade II
Worse
Partial Tear
Up to 2 weeks out
Classification-Guides Treatment
Grade III
Complete disruption of plantar plate
Extensive bruising and swelliing
Need to be taken out of sport
Conservative Treatment for Turf Toe
Orthotic Stiff soled shoe Taping Offloading with crutches/boot NSAIDS- tx pain only
Predislocation Syndrome
Usually focuses on the lesser (2-5) mpjs
Which MPJ is most common
Fast or slow development?
2nd MPJ is the most common
Slow
“bruised” feeling walking on a “pebble”/ “stone” “wadded up sock” feeling as if the toe has “moved” feeling the toe is swollen
Predislocation Syndrome
Pain with palpation of one or more MPJ’s
Predislocation Syndrome
Hallux abducto valgus Hypermobility Short 1st metatarsal Elevated 1st metatarsal Long or plantarflexed 2nd metatarsal Long 2nd digit Equinus
Etiology of Predislocation Syndrome
More common in females ?
Turf Toe or Predislocation Syndrome
Predislocation
Vertical Stress Test (Lachman/Drawer)
If you can move the base of the proximal phalanx dorsally by at least 2 mm, it is a positive test
- looking for subluxation of joint
. Subtle, mild edema dorsal and plantar to the lesser MPJ.
Stage I – Predislocation Syndrome
Noticeable deviation of the digit both clinically and radiographically.
Stage II – Predislocation Syndrome
