Lesser Metatarsophalangeal Plantar Plate Repair

Clin Podiatr Med Surg. 2022 Apr;39(2):167-185. doi: 10.1016/j.cpm.2021.11.008.


Lesser toe plantar plate injuries at the metatarsophalangeal (MTP) joint are a common source of metatarsalgia. Chronic pain with weight-bearing is the common presentation of lesser toe instability. Deformity occurs when the plantar plate is torn or attenuated. Crossover toe and MTP instability often occur with multiplane deformity, most commonly with dorsal contracture of the second toe and medial drift over the Hallux. In this article, the authors present a comprehensive stepwise approach to diagnosing and treating plantar plate injuries using both dorsal and plantar approach techniques.

Keywords: Crossover toe; Lesser metatarsophalangeal joint instability; Lesser toe deformity; Plantar plate injury.

Publication types

  • Review

MeSH terms

  • Foot Deformities* / diagnosis
  • Humans
  • Joint Instability* / diagnosis
  • Metatarsophalangeal Joint* / surgery
  • Plantar Plate* / surgery
  • Toes