MPJ Pathology Flashcards Preview

Clinical Med and Diagnostic > MPJ Pathology > Flashcards

Flashcards in MPJ Pathology Deck (18)
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1
Q

Hyperextension of 1st MTPJ

A

Turf Toe

2
Q

Hyperextension can tear the _______

A

plantar plate

3
Q

Classification-Guides Treatment

Grade I

A

Plantar plate is intact
Brusing

  • Return to play with protection
4
Q

Classification-Guides Treatment

Grade II

A

Worse
Partial Tear

Up to 2 weeks out

5
Q

Classification-Guides Treatment

Grade III

A

Complete disruption of plantar plate
Extensive bruising and swelliing

Need to be taken out of sport

6
Q

Conservative Treatment for Turf Toe

A
Orthotic
Stiff soled shoe
Taping
Offloading with crutches/boot
NSAIDS- tx pain only
7
Q

Predislocation Syndrome

A

Usually focuses on the lesser (2-5) mpjs

8
Q

Which MPJ is most common

Fast or slow development?

A

2nd MPJ is the most common

Slow

9
Q
“bruised” feeling
 walking on a “pebble”/ “stone”
 “wadded up sock”
 feeling as if the toe has “moved”
 feeling the toe is swollen
A

Predislocation Syndrome

10
Q

Pain with palpation of one or more MPJ’s

A

Predislocation Syndrome

11
Q
Hallux abducto valgus 
Hypermobility
Short 1st metatarsal
Elevated 1st metatarsal
Long or plantarflexed 2nd metatarsal 
Long 2nd digit
Equinus
A

Etiology of Predislocation Syndrome

12
Q

More common in females ?

Turf Toe or Predislocation Syndrome

A

Predislocation

13
Q

Vertical Stress Test (Lachman/Drawer)

A

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
14
Q

. Subtle, mild edema dorsal and plantar to the lesser MPJ.

A

Stage I – Predislocation Syndrome

15
Q

Noticeable deviation of the digit both clinically and radiographically.

A

Stage II – Predislocation Syndrome

16
Q

Moderate edema.

2. Clinically, the deviation

A

Stage III– Predislocation Syndrome

17
Q

Primarily a CLINICAL diagnosis

A

Predislocation Syndrome

18
Q

Described as a continuum of pathologic entities progressing from acute capsulitis to subacute plantar plate rupture and chronic dislocation of the joint.

A chronic condition secondary to overuse

A

Predislocation Syndrome