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Imaging Considerations in Differentiating Plantar Plate Pathology and Webspace Neuroma. 鉴别足底板病理和网状神经瘤的影像学考虑。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.002
Rodrigo O C Aguiar, Hilary Umans
{"title":"Imaging Considerations in Differentiating Plantar Plate Pathology and Webspace Neuroma.","authors":"Rodrigo O C Aguiar, Hilary Umans","doi":"10.1016/j.cpm.2026.02.002","DOIUrl":"10.1016/j.cpm.2026.02.002","url":null,"abstract":"<p><p>Myriad pathologies affect the lesser toes. In this article, the focus is on the challenging radiological differential diagnosis of plantar plate (PP) degeneration and tear versus webspace neuroma. It is now understood that PP tear and even degeneration without tear is most accompanied by reactive pericapsular soft tissue thickening (pseudoneuroma), which contributes to neuritic symptoms that are often indistinguishable from webspace neuroma. In this article, the authors will review the differing clinical presentations and radiographic, sonographic, and MRI findings of these entities and the different acquired toe deformities that occur in PP dysfunction with pseudoneuroma, versus webspace neuroma.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"329-348"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rheumatoid Deformities of the Lesser Toes. 小脚趾的类风湿性畸形。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.006
Tania S Mann, Gustavo Araujo Nunes
{"title":"Rheumatoid Deformities of the Lesser Toes.","authors":"Tania S Mann, Gustavo Araujo Nunes","doi":"10.1016/j.cpm.2026.02.006","DOIUrl":"10.1016/j.cpm.2026.02.006","url":null,"abstract":"<p><p>Rheumatoid arthritis is a chronic heterogeneous autoimmune disease characterized by painful joint inflammation and causes destructive bone erosions. Most common deformities in the rheumatoid forefoot are hallux valgus and claw toes. Radiographs are helpful to show the deformity and the associated pathologies. Nonsurgical treatment is focused on pain reduction, function preservation, and prevention of further deformity, by relieving pressure and pain with shoe modification and use of insoles. Surgical procedures can address either soft tissue and bone deformities that can be performed by a percutaneous or open approach.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"387-402"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally Invasive Alternatives for the Treatment of Lesser Toe Deformities. 小脚趾畸形的微创治疗方法。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.009
Joel Vernois, David Redfern
{"title":"Minimally Invasive Alternatives for the Treatment of Lesser Toe Deformities.","authors":"Joel Vernois, David Redfern","doi":"10.1016/j.cpm.2026.02.009","DOIUrl":"10.1016/j.cpm.2026.02.009","url":null,"abstract":"<p><p>Toe deformities are often correct with a simple proximal interphalangeal joint fusion whatever if the joint is mobile or rigid. Percutaneous technique allows a different approach of the deformity. Fusion is no more the only solution. This article shows the different procedure that can be done percutaneously. Like all technique, it needs a specific training.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"429-437"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Classical Surgical Alternatives for the Treatment of Lesser Toe Deformities. 治疗小脚趾畸形的经典手术选择。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.008
Hans-Jörg Trnka, Paul Trnka
{"title":"Classical Surgical Alternatives for the Treatment of Lesser Toe Deformities.","authors":"Hans-Jörg Trnka, Paul Trnka","doi":"10.1016/j.cpm.2026.02.008","DOIUrl":"10.1016/j.cpm.2026.02.008","url":null,"abstract":"<p><p>Lesser toe deformities are the second most common deformities around the foot and ankle. Early reports of procedures for lesser toe correction date back to the 1880s. Lesser toe deformities have a high variability of appearance. Thorough assessment of the joints involved in the deformity is necessary. Numerous techniques of soft tissue and osseous interventions are available and need to be included for individual correction. Osseous corrections are usually accompanied by soft tissue procedures. Kirschner-wire fixation is still an effective method of fixation, but internal fixation is probably the way to go for the future if cost-effectiveness can be improved.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"409-427"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesser Metatarsophalangeal Joint Instability: Arthroscopic Treatment Alternatives. 小跖趾关节不稳定：关节镜治疗方案。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.018
Charles Churk Hang Li, Tun Hing Lui
{"title":"Lesser Metatarsophalangeal Joint Instability: Arthroscopic Treatment Alternatives.","authors":"Charles Churk Hang Li, Tun Hing Lui","doi":"10.1016/j.cpm.2026.02.018","DOIUrl":"10.1016/j.cpm.2026.02.018","url":null,"abstract":"<p><p>Instability of the lesser toes metatarsophalangeal (MTP) joints is a common forefoot problem and can present as metatarsalgia, synovitis, and lesser toe deformities. The plantar plate contributes to MTP joint stability through its interaction with the plantar aponeurosis, and plantar plate insufficiency is the primary cause of MTP joint instability. Conservative treatment options, including the use of nonsteroidal anti-inflammatory medications, intra-articular steroid injections, orthosis, and accommodative shoe modifications, generally provide only temporary relief and do not effectively halt the progression of deformity in most cases. In this article, the different arthroscopic treatment alternatives are discussed including plantar plate tenodesis.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"485-497"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anatomy, Biomechanics, and Pathogenesis of the Lesser Toes Deformities. 小脚趾畸形的解剖、生物力学和发病机制。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.001
Jorge Javier Del Vecchio, Miki Dalmau-Pastor
{"title":"Anatomy, Biomechanics, and Pathogenesis of the Lesser Toes Deformities.","authors":"Jorge Javier Del Vecchio, Miki Dalmau-Pastor","doi":"10.1016/j.cpm.2026.02.001","DOIUrl":"10.1016/j.cpm.2026.02.001","url":null,"abstract":"<p><p>Deformities of the lesser toes are a prevalent condition faced by orthopedic surgeons. An imbalance between the extensor and flexor muscles might cause these deformities, affecting the metatarsophalangeal joint (MTPJ) and interphalangeal joint (IPJ). Therefore, a thorough understanding of the anatomy, biomechanics of the MTPJ, the surrounding structures, and the pathogenesis of lesser toe deformities is crucial for ensuring the correct diagnosis and treatment of the deformities. Maintaining foot biomechanics during the different gait phases preserves the development and progressive evolution of deformities.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"315-327"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesser Metatarsophalangeal Joint Instability: Open Surgery Treatment Alternatives. 小跖趾关节不稳定：开放手术治疗选择。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.012
Daniel Baumfeld, Caio Nery
{"title":"Lesser Metatarsophalangeal Joint Instability: Open Surgery Treatment Alternatives.","authors":"Daniel Baumfeld, Caio Nery","doi":"10.1016/j.cpm.2026.02.012","DOIUrl":"10.1016/j.cpm.2026.02.012","url":null,"abstract":"<p><p>Lesser metatarsophalangeal joint plantar plate degeneration and tear typically presents as an attritional pattern of capsuloligamentous deficiency in middle-aged patients or sports-related chronic injuries. Knowledge of the anatomy, pathophysiological basis, common patterns, grading and classification of these injuries, and indications for surgery will aid imaging interpretation in the preoperative setting. The acuity and extent of injury, tissue quality, and functional requirements of the patient influence clinical decision-making with respect to surgical management. This article provides an overview of the open surgical treatment alternatives and the most used techniques to solve instability of the metatarsophalangeal joints.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"459-474"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesser Toe Pathology: Challenges, Controversies, and Advances. 小脚趾病理学：挑战、争议和进步。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 Epub Date: 2026-04-08 DOI: 10.1016/j.cpm.2026.03.001
Caio Nery
{"title":"Lesser Toe Pathology: Challenges, Controversies, and Advances.","authors":"Caio Nery","doi":"10.1016/j.cpm.2026.03.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.03.001","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"xv-xvi"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Lesser Toe Deformities Based on Physical Therapy. 基于物理疗法的小脚趾畸形治疗。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.004
Pérola Grinberg Plapler, Dai Ling
{"title":"Treatment of Lesser Toe Deformities Based on Physical Therapy.","authors":"Pérola Grinberg Plapler, Dai Ling","doi":"10.1016/j.cpm.2026.02.004","DOIUrl":"10.1016/j.cpm.2026.02.004","url":null,"abstract":"<p><p>Forefoot problems are highly relevant in the general population. It leads to a loss of autonomy and increases the risk of falls. Treatment needs to consider the underlying cause, and conservative measures are generally instituted before surgical intervention. Nonsurgical approaches must be focused on pressure relief and deformity correction. Corrective devices may be indicated for reducible deformities. Physiotherapy based on exercises and the use of specific orthoses are indicated. The new concept with an emphasis on strengthening the intrinsic muscles of the foot appears to be quite effective in correcting less severe deformities and preventing the deformities from worsening.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"363-373"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biomechanical Problems Related to Lesser Toes Dysfunction and Amputation. 与小脚趾功能障碍和截肢相关的生物力学问题。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.016
Leonardo Metsavaht, Alexandre Leme Godoy-Santos, Franco Mombello
{"title":"Biomechanical Problems Related to Lesser Toes Dysfunction and Amputation.","authors":"Leonardo Metsavaht, Alexandre Leme Godoy-Santos, Franco Mombello","doi":"10.1016/j.cpm.2026.02.016","DOIUrl":"10.1016/j.cpm.2026.02.016","url":null,"abstract":"<p><p>Should we care about the biomechanics of the foot or the full locomotor system? Anatomic changes are the main concerns of an orthopedic surgeon; however, the main objectives of treatment for lesser toe dysfunctions are to relieve the patient's symptoms to preserve or improve function. It is imperative to understand that the foot is part a three-dimensional biokinetic system that needs to function combined so that loads are harmoniously distributed throughout the body without harmful effects, especially for one of the most frequent voluntary neuromotor tasks in humans: walking.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"511-523"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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