Lesser Metatarsophalangeal Joint Instability: Nonsurgical Treatment Alternatives.

Humans Metatarsophalangeal Joint / physiopathology Joint Instability / therapy
Hammertoe Metatarsalgia Nonsurgical Plantar plate

Journal

Foot and ankle clinics
ISSN: 1558-1934
Titre abrégé: Foot Ankle Clin
Pays: United States
ID NLM: 9615073

Informations de publication

Date de publication:
Dec 2024
Historique:
medline: 25 10 2024
pubmed: 25 10 2024
entrez: 24 10 2024
Statut: ppublish

Résumé

Lesser metatarsophalangeal (MTP) joint instability can cause pain in the MTP joints with ambulation. The goal of nonsurgical treatment is to offload the metatarsal heads and stabilize the MTP joints. Achilles stretching can be effective by decreasing pressure in the forefoot with ambulation. Metatarsal offloading does not stabilize the lesser MTP joints but can alleviate pain in the plantar surface of the metatarsal heads. Crossover taping and strapping can stabilize the MTP joint and resist MTP hyperdorsiflexion. Steroid injections can alleviate inflammation but is also associated with further attenuation of the ligamentous structures that stabilize the MTP joint.

Identifiants

DOI: 10.1016/j.fcl.2024.02.005 PMID: 39448181
pubmed: 39448181
pii: S1083-7515(24)00149-9
doi: 10.1016/j.fcl.2024.02.005
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

691-699

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosures Paragon28-research grants and consultant.

Auteurs

Paul G Talusan (PG)

Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, University of Michigan Health System, 2098 South Main Street, Ann Arbor, MI 48103, USA. Electronic address: ptalusan@med.umich.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Lesser Metatarsophalangeal Joint Instability:...
questionsmedicales.fr › Appareil locomoteur › Squelette › Articulations › Articulations du pied › Articulation métatarsophalangienne › Lesser Metatarsophalangeal Joint Instability:...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies articulaires › Instabilité articulaire › Lesser Metatarsophalangeal Joint Instability:...