Current Concepts In Plantar Plate Repair

Start Page: 62
Lowell Weil Jr., DPM, FACFAS, and Erin E. Klein, DPM, MS

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Michele Kurlanskisays: April 5, 2012 at 12:20 pm

In your experience, do you think patients have plantar plate tears because of a long second metatarsal and a functional hallux limitus, or an elevated first ray? If so, do you treat the 1st MTPJ pathology surgically at the same time or just address the 2nd MTPJ?

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Dr. Victor J Runcosays: January 20, 2013 at 8:39 am

Some patients I see who have ALL the signs and symptoms of a grade 1-2 plantar plate tear sometimes have negative MRI findings. When they do not respond to conservative treatment, I often have difficulty getting a surgeon to operate on them.

This is different in knees for some reason. Often, the knee surgeon will do exploratory surgery and find the issue and fix it in spite of a lack of MRI findings.

My question is: Do you operate with a lack of MRI findings and if so, do you often find the cause during the operation?

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