Flexor digitorum longus transfer in chronic plantar plate tears: two case reports and literature review

Background and Clinical Significance: 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 s...

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Autores: Córdoba Fernández, Antonio, Mateos-Carrasco, Rocío, García-Gámez, Antonio Jesús, Córdoba-Jiménez, Victoria Eugenia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/164794
Acceso en línea:https://hdl.handle.net/11441/164794
https://doi.org/10.3390/reports7040087
Access Level:acceso abierto
Palabra clave:Plantar plate tear
lesser toe deformity
metatarso-phalangeal instability
tendon transfer
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spelling Flexor digitorum longus transfer in chronic plantar plate tears: two case reports and literature reviewCórdoba Fernández, AntonioMateos-Carrasco, RocíoGarcía-Gámez, Antonio JesúsCórdoba-Jiménez, Victoria EugeniaPlantar plate tearlesser toe deformitymetatarso-phalangeal instabilitytendon transferBackground and Clinical Significance: 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. Case Presentation: 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). Conclusions: Currently, the literature review shows that the procedure seems to be the most consistent surgical option in chronic cases of PP tears.MDPIPodologíaCTS-589: Avances en cirugía podológica2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/164794https://doi.org/10.3390/reports7040087reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésReports, 7 (4).https://www.mdpi.com/2571-841X/7/4/87info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1647942026-06-17T12:51:07Z
dc.title.none.fl_str_mv Flexor digitorum longus transfer in chronic plantar plate tears: two case reports and literature review
title Flexor digitorum longus transfer in chronic plantar plate tears: two case reports and literature review
spellingShingle Flexor digitorum longus transfer in chronic plantar plate tears: two case reports and literature review
Córdoba Fernández, Antonio
Plantar plate tear
lesser toe deformity
metatarso-phalangeal instability
tendon transfer
title_short 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_sort Flexor digitorum longus transfer in chronic plantar plate tears: two case reports and literature review
dc.creator.none.fl_str_mv Córdoba Fernández, Antonio
Mateos-Carrasco, Rocío
García-Gámez, Antonio Jesús
Córdoba-Jiménez, Victoria Eugenia
author Córdoba Fernández, Antonio
author_facet Córdoba Fernández, Antonio
Mateos-Carrasco, Rocío
García-Gámez, Antonio Jesús
Córdoba-Jiménez, Victoria Eugenia
author_role author
author2 Mateos-Carrasco, Rocío
García-Gámez, Antonio Jesús
Córdoba-Jiménez, Victoria Eugenia
author2_role author
author
author
dc.contributor.none.fl_str_mv Podología
CTS-589: Avances en cirugía podológica
dc.subject.none.fl_str_mv Plantar plate tear
lesser toe deformity
metatarso-phalangeal instability
tendon transfer
topic Plantar plate tear
lesser toe deformity
metatarso-phalangeal instability
tendon transfer
description Background and Clinical Significance: 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. Case Presentation: 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). Conclusions: Currently, the literature review shows that the procedure seems to be the most consistent surgical option in chronic cases of PP tears.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/164794
https://doi.org/10.3390/reports7040087
url https://hdl.handle.net/11441/164794
https://doi.org/10.3390/reports7040087
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reports, 7 (4).
https://www.mdpi.com/2571-841X/7/4/87
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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