MPJ Pathology Flashcards Preview

Clinical Med and Diagnostic > MPJ Pathology > Flashcards

Flashcards in MPJ Pathology Deck (18)
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1

Hyperextension of 1st MTPJ

Turf Toe

2

Hyperextension can tear the _______

plantar plate

3

Classification-Guides Treatment

Grade I

Plantar plate is intact
Brusing

- Return to play with protection

4

Classification-Guides Treatment

Grade II

Worse
Partial Tear

Up to 2 weeks out

5

Classification-Guides Treatment

Grade III

Complete disruption of plantar plate
Extensive bruising and swelliing

Need to be taken out of sport

6

Conservative Treatment for Turf Toe

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



7

Predislocation Syndrome

Usually focuses on the lesser (2-5) mpjs

8

Which MPJ is most common
Fast or slow development?

2nd MPJ is the most common

Slow

9

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

Predislocation Syndrome

10

Pain with palpation of one or more MPJ’s

Predislocation Syndrome

11

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

Etiology of Predislocation Syndrome

12

More common in females ?

Turf Toe or Predislocation Syndrome

Predislocation

13

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

14

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

Stage I -- Predislocation Syndrome

15

Noticeable deviation of the digit both clinically and radiographically.

Stage II -- Predislocation Syndrome

16

Moderate edema.
2. Clinically, the deviation

Stage III-- Predislocation Syndrome

17

Primarily a CLINICAL diagnosis

Predislocation Syndrome

18

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

Predislocation Syndrome