Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review
<b>Background and Clinical Significance:</b> The plantar plate (PP) tear of the second metatarsophalangeal joint (MTPJ) is a common cause of forefoot pain in clinical practice. The PP is the main stabilizing structure of the joint and, together with the collateral ligaments, is the key t...
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MDPI AG
2024-10-01
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| author | Antonio Córdoba-Fernández Rocío Mateos-Carrasco Antonio Jesús García-Gámez Victoria Eugenia Córdoba-Jiménez |
| author_facet | Antonio Córdoba-Fernández Rocío Mateos-Carrasco Antonio Jesús García-Gámez Victoria Eugenia Córdoba-Jiménez |
| author_sort | Antonio Córdoba-Fernández |
| collection | DOAJ |
| description | <b>Background and Clinical Significance:</b> The plantar plate (PP) tear of the second metatarsophalangeal joint (MTPJ) is a common cause of forefoot pain in clinical practice. The PP is the main stabilizing structure of the joint and, together with the collateral ligaments, is the key to maintaining the stability of the MTPJ. Many surgical procedures have been described to repair PP tears. Currently, there is still controversy regarding which is the surgical superior option (direct versus indirect PP repair techniques). Transfer of the flexor digitorum longus tendon to the dorsum of the proximal phalanx is one of the surgical techniques described to treat PP tears associated with MTPJ instability. <b>Case Presentation:</b> We present two cases that developed instability of the second MTPJ secondary to chronic PP tear with symptoms resolved after transfer of the flexor digitorum longus (FDL). <b>Conclusions:</b> Currently, the literature review shows that the procedure seems to be the most consistent surgical option in chronic cases of PP tears. |
| format | Article |
| id | doaj-art-0eb3204180b847d6875f08d444894cc3 |
| institution | Kabale University |
| issn | 2571-841X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reports |
| spelling | doaj-art-0eb3204180b847d6875f08d444894cc32024-12-27T14:51:27ZengMDPI AGReports2571-841X2024-10-01748710.3390/reports7040087Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature ReviewAntonio Córdoba-Fernández0Rocío Mateos-Carrasco1Antonio Jesús García-Gámez2Victoria Eugenia Córdoba-Jiménez3Departamento de Podología, Universidad de Sevilla, Calle Avicena s/n, 41009 Sevilla, SpainPrivate Practice, Avenida Jose Manuel Caballero Bonald Edif. Solario, Local 6 y 7, 11405 Jerez de la Frontera, SpainPrivate Practice, Avenida Jose Manuel Caballero Bonald Edif. Solario, Local 6 y 7, 11405 Jerez de la Frontera, SpainPrivate Practice, Calle Dr. Fleming 13, Bajo B, Castilleja de la Cuesta, 41950 Sevilla, Spain<b>Background and Clinical Significance:</b> The plantar plate (PP) tear of the second metatarsophalangeal joint (MTPJ) is a common cause of forefoot pain in clinical practice. The PP is the main stabilizing structure of the joint and, together with the collateral ligaments, is the key to maintaining the stability of the MTPJ. Many surgical procedures have been described to repair PP tears. Currently, there is still controversy regarding which is the surgical superior option (direct versus indirect PP repair techniques). Transfer of the flexor digitorum longus tendon to the dorsum of the proximal phalanx is one of the surgical techniques described to treat PP tears associated with MTPJ instability. <b>Case Presentation:</b> We present two cases that developed instability of the second MTPJ secondary to chronic PP tear with symptoms resolved after transfer of the flexor digitorum longus (FDL). <b>Conclusions:</b> Currently, the literature review shows that the procedure seems to be the most consistent surgical option in chronic cases of PP tears.https://www.mdpi.com/2571-841X/7/4/87plantar plate tearlesser toe deformitymetatarso-phalangeal instabilitytendon transfer |
| spellingShingle | Antonio Córdoba-Fernández Rocío Mateos-Carrasco Antonio Jesús García-Gámez Victoria Eugenia Córdoba-Jiménez Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review Reports plantar plate tear lesser toe deformity metatarso-phalangeal instability tendon transfer |
| title | Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review |
| title_full | Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review |
| title_fullStr | Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review |
| title_full_unstemmed | Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review |
| title_short | Flexor Digitorum Longus Transfer in Chronic Plantar Plate Tears: Two Case Reports and Literature Review |
| title_sort | flexor digitorum longus transfer in chronic plantar plate tears two case reports and literature review |
| topic | plantar plate tear lesser toe deformity metatarso-phalangeal instability tendon transfer |
| url | https://www.mdpi.com/2571-841X/7/4/87 |
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