Plantar Plate Injury (Turf Toe): Difference between revisions

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==Anatomy==
The first MTPJ integrity is related primarily to the joint capsule, collateral capsular ligaments, and the flexor-tendon complexes coursing on either side. The soft tissues stabilise the joint allowing for approximately 50° of dorxiflexion and 30° of plantarflexion. 
*Medial and lateral collateral capsular ligaments - provide valgus and varus stability.
*Medial flexor-tendon complex - comprised of the medial head of FHB and abductor hallucis, which envelops the medial sesamoid and attaches to the medial proximal phalanx.
*Lateral flexor-tendon complex - comprised of the lateral head of FHB and adductor hallucis, which envelops the lateral sesamoid and attaches to the lateral proximal phalanx.
*Sesamoids - fulcrums that increase the lever arm of the FHB tendons and increase the plantar strength of the first MTPJ.
*Flexor hallucis longus (FHL) - the tendon is in a separate sheath between the sesamoids and inserts on the distal phalanx.
*Plantar plate - fibrocartilaginous structure which is made up of the thickened plantar joint capsule, and medial and lateral flexor-tendon complexes. It courses from the first metatarsal head and attaches to the proximal phalanx.


[[Category:Foot & Ankle]]
[[Category:Foot & Ankle]]
[[Category:Stubs]]

Revision as of 19:23, 6 October 2020

This article is a stub.

Anatomy

The first MTPJ integrity is related primarily to the joint capsule, collateral capsular ligaments, and the flexor-tendon complexes coursing on either side. The soft tissues stabilise the joint allowing for approximately 50° of dorxiflexion and 30° of plantarflexion.

  • Medial and lateral collateral capsular ligaments - provide valgus and varus stability.
  • Medial flexor-tendon complex - comprised of the medial head of FHB and abductor hallucis, which envelops the medial sesamoid and attaches to the medial proximal phalanx.
  • Lateral flexor-tendon complex - comprised of the lateral head of FHB and adductor hallucis, which envelops the lateral sesamoid and attaches to the lateral proximal phalanx.
  • Sesamoids - fulcrums that increase the lever arm of the FHB tendons and increase the plantar strength of the first MTPJ.
  • Flexor hallucis longus (FHL) - the tendon is in a separate sheath between the sesamoids and inserts on the distal phalanx.
  • Plantar plate - fibrocartilaginous structure which is made up of the thickened plantar joint capsule, and medial and lateral flexor-tendon complexes. It courses from the first metatarsal head and attaches to the proximal phalanx.