What are Plantar plate injuries?
The plantar plate is a strong band of tissue that runs underneath the toe joints to prevent too much upward movement. They act to stabilise these joints. Injury to the plantar plate can cause instability and deformity.
What are the symptoms of Plantar plate injuries?
The onset of symptoms often follows an acute injury involving a forced extension of the toe. Pain on weight-bearing and often times patients will notice lateral (sideways) movement of the affected toe. This can also be a result of a chronic condition, however, such as rheumatoid arthritis.
How are Plantar plate injuries diagnosed?
Clinical examination to demonstrate instability is normally diagnostic. MRI scans can also demonstrate the injury and help to plan surgery if required.
What are my options for treatment?
In the absence of deformity, the injury can be managed non-operatively in the first instance. Aims of therapy are to address any underlying health conditions, reduce calf tightness and improve pain. Pain can be managed with a steroid injection if required. If symptoms persist and deformity is present then surgery is indicated in the active patient group. Surgery involves the reattachment of the structure to the bone from where it has been torn.