Pathology of the Lesser Toes, An issue of Foot and Ankle Clinics of North America

1st Edition, Volume 29-4 - October 28, 2024
Imprint: Elsevier
Editor: Caio Nery
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 1 1 - 7
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 1 2 - 4

In this issue of Foot and Ankle Clinics, guest editor Dr. Caio Nery brings his considerable expertise to the topic of Pathology of the Lesser Toes. As a frequent source of pai… Read more

Pathology of the Lesser Toes, An issue of Foot and Ankle Clinics of North America

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In this issue of Foot and Ankle Clinics, guest editor Dr. Caio Nery brings his considerable expertise to the topic of Pathology of the Lesser Toes. As a frequent source of pain and dysfunction, the lesser toes can present challenging problems for both patients and surgeons alike. In this issue, top experts cover the anatomy, biomechanics, and pathology of common deformities of the lesser toes, with discussions of diagnosis, management, and both conservative and surgical treatments.

Cover image
Title page
Table of Contents
Copyright
Editorial Advisory Board
Contributors
Forthcoming Issues
Preface
Anatomy, Biomechanics, and Pathogenesis of the Lesser Toes Deformities
Key points
Introduction
Summary
Imaging Considerations in Differentiating Plantar Plate Pathology and Webspace Neuroma
Key points
Introduction
Summary
Clinics care points
Orthotics for the Treatment of Lesser Toe Deformities
Key points
Introduction
Objectives of conservative treatment
Shoewear
Orthotics
Other conservative interventions
What can we expect from conservative treatment?
Summary
Clinics care points
Treatment of Lesser Toe Deformities Based on Physical Therapy
Key points
Introduction
Epidemiology
Summary
Clinics care points
Neuropathic Deformities of the Lesser Toes
Key points
Introduction
Background
Outcomes
Summary
Clinics care points
Rheumatoid Deformities of the Lesser Toes
Key points
Introduction
Pathophysiology
Clinical manifestations
Hammer toe/claw toe
Metatarsophalangeal instability and plantar plate rupture
Minimal invasive surgery for metatarsophalangeal joint instability
Mallet toe
Clinodactyly
Current evidence
Perioperative care in patients with rheumatoid arthritis
Clinics care points
Diabetic Deformities of the Lesser Toes
Key points
Introduction
Pathophysiology of lesser toe deformities
Accommodative treatment of lesser toe deformity
Surgical correction of lesser toe deformities
Second toe amputation
The forefoot parabola
Summary
Clinics care points
Classical Surgical Alternatives for the Treatment of Lesser Toe Deformities
Key points
Introduction
Assessment
Surgical management of lesser toe deformities
Summary
Clinics care points
Minimally Invasive Alternatives for the Treatment of Lesser Toe Deformities
Key points
Introduction
Surgical techniques
Surgical soft tissue procedures
Surgical bone procedures
Interphalangeal joint fusion
Fixation
Decisional tree
Discussion
Summary
Clinics care points
Metatarsophalangeal Joint Instability: Anatomy and Physiopathology
Key points
Introduction
Anatomy of the plantar plate
Metatarsophalangeal joint biomechanics
Pathophysiology
Demographics and risk factors
Summary
Clinics care points
Lesser Metatarsophalangeal Joint Instability: Nonsurgical Treatment Alternatives
Key points
Introduction
Stretching
Taping and strapping
Offloading
Orthotics
Injections
Summary
Clinics care points
Lesser Metatarsophalangeal Joint Instability: Open Surgery Treatment Alternatives
Key points
Introduction
Building a management plan
Preoperative planning
Direct plantar plate repair technique: plantar approach
Metatarsophalangeal plantar plate direct repair technique with dorsal approach and metatarsal osteotomy (the authors’ preferred method)
Metatarsal osteotomy and plantar plate exposition
Plantar plate suture option
Sutures through the base of the proximal phalanx
Fixing the Weil osteotomy and finishing
Postoperative management
Complications/concerns
Summary
Clinics care points
Lesser Metatarsophalangeal Joint Instability: Minimally Invasive Surgery Treatment Alternatives
Key points
Introduction
Therapeutic options
Surgical techniques
Postoperative management
Results
Summary
Clinics care points
Lesser Metatarsophalangeal Joint Instability: Arthroscopic Treatment Alternatives
Key points
Introduction
Indications and contraindications of the modified double plantar plate tenodesis (the authors’ preferred technique)
authors’ preferred technique
Summary
Clinics care points
Is It Necessary to Repair the Plantar Plate in the Management of Metatarsophalangeal Joint Instability?
Key points
Introduction
Clinical presentation
Nonoperative treatment
Surgical treatment and outcomes
Author’s preferred technique
Return to sport
Complications
Summary
Clinics care points
Biomechanical Problems Related to Lesser Toes Dysfunction and Amputation
Key points
Should we care about the biomechanics of the foot or the full locomotor system?
Summary
Clinics care points
Supplementary data
Principles of Lesser Toe and Metatarsophalangeal Joint Reconstruction for Complex and Revision Surgery of the Forefoot
Key points
Introduction: surgery for lesser toes and metatarsophalangeal joints
Background
Complications of surgery for lesser metatarsophalangeal joints and toes
Goals of surgery of the lesser toes and metatarsophalangeal joints
Principles of lesser toe and metatarsophalangeal joint surgery
Surgical techniques
Revision surgery for recurrence and complications
Case studies
Summary
Clinics care points

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Pathology of the Lesser Toes, An issue of Foot and Ankle Clinics of North America

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