{"title":"Nonoperative Treatment of Plantar Plate Tears.","authors":"Karan Malani, Madison Ravine, Harry P Schneider","doi":"10.1016/j.cpm.2022.02.006","DOIUrl":null,"url":null,"abstract":"<p><p>The plantar plate is a critical structure involved in stabilizing the metatarsophalangeal joint. Its disruption can not only be painful for the patient but also may lead to subsequent structural deformities. There are several conservative treatment modalities available to help mitigate symptoms including splinting, offloading, and intraarticular injections. That being said, once the pathology progresses to advanced stages, these treatments are not efficacious. Reported success with conservative treatment modalities is limited to case studies and series with a low level of clinical evidence. As such, this represents an area where further investigation is needed to evaluate the true efficacy of conservative treatment and to allow for development of a more standardized approach.</p>","PeriodicalId":48939,"journal":{"name":"Clinics in Podiatric Medicine and Surgery","volume":"39 3","pages":"451-459"},"PeriodicalIF":0.7000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinics in Podiatric Medicine and Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.cpm.2022.02.006","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
The plantar plate is a critical structure involved in stabilizing the metatarsophalangeal joint. Its disruption can not only be painful for the patient but also may lead to subsequent structural deformities. There are several conservative treatment modalities available to help mitigate symptoms including splinting, offloading, and intraarticular injections. That being said, once the pathology progresses to advanced stages, these treatments are not efficacious. Reported success with conservative treatment modalities is limited to case studies and series with a low level of clinical evidence. As such, this represents an area where further investigation is needed to evaluate the true efficacy of conservative treatment and to allow for development of a more standardized approach.
期刊介绍：
Each issue of Clinics in Podiatric Medicine and Surgery updates you on the latest trends in patient management, keeps you up to date on the newest advances, and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in podiatry and is presented under the direction of an experienced editor. Topics include charcot foot, the diabetic foot, imaging, pain management, ankle arthritis, foot and ankle arthroscopy, bunions, athletic injuries, wound and bone healing, fractures, dislocations, sprains, torn ligaments, amputations, infections, tumors, congenital deformities, and joint destruction.
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