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Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes

BACKGROUND: Instability of the metatarsophalangeal (MTP) joints of the lesser toes (digiti 2–5) is increasingly being treated by repair of the plantar plate (PP). This systematic review examines the anatomy of the plantar plate of the lesser toes, and the relation between the integrity of the planta...

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Autores principales: Maas, Nico M. G., van der Grinten, Margot, Bramer, Wichor M., Kleinrensink, Gert-Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992309/
https://www.ncbi.nlm.nih.gov/pubmed/27547243
http://dx.doi.org/10.1186/s13047-016-0165-2
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author Maas, Nico M. G.
van der Grinten, Margot
Bramer, Wichor M.
Kleinrensink, Gert-Jan
author_facet Maas, Nico M. G.
van der Grinten, Margot
Bramer, Wichor M.
Kleinrensink, Gert-Jan
author_sort Maas, Nico M. G.
collection PubMed
description BACKGROUND: Instability of the metatarsophalangeal (MTP) joints of the lesser toes (digiti 2–5) is increasingly being treated by repair of the plantar plate (PP). This systematic review examines the anatomy of the plantar plate of the lesser toes, and the relation between the integrity of the plantar plates of the lesser toes and lesser MTP joint stability. METHODS: The databases of Embase.com, Medline (Ovid), Web of Science, Scopus, Cochrane, Pubmed not medline, Cinahl (ebsco), ProQuest, Lilacs, Scielo and Google Scholar were searched in June 2015 from inception. Studies were included if they were in English, contained primary data, and had a focus on plantar plate anatomy of the lesser toes or on the relationship between integrity of the plantar plate and MTP joint (in)stability. Study characteristics were extracted into two main tables and descriptive anatomical and histological data were summarized into one schematic 3D drawing of the plantar plate. RESULTS: Nine studies were included in this systematic review, of which five addressed plantar plate anatomy as such and four focused directly and indirectly on plantar plate integrity related to MTP joint stability. CONCLUSION: This is the first systematic review regarding plantar plate anatomy related to MTP joint stability of the lesser toes. This review iterates the importance of plantar plate anatomy and integrity for MTP joint stability, and it delineates the lack of primary data regarding plantar plate anatomy of the lesser toes and MTP joint stability. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13047-016-0165-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-49923092016-08-21 Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes Maas, Nico M. G. van der Grinten, Margot Bramer, Wichor M. Kleinrensink, Gert-Jan J Foot Ankle Res Review BACKGROUND: Instability of the metatarsophalangeal (MTP) joints of the lesser toes (digiti 2–5) is increasingly being treated by repair of the plantar plate (PP). This systematic review examines the anatomy of the plantar plate of the lesser toes, and the relation between the integrity of the plantar plates of the lesser toes and lesser MTP joint stability. METHODS: The databases of Embase.com, Medline (Ovid), Web of Science, Scopus, Cochrane, Pubmed not medline, Cinahl (ebsco), ProQuest, Lilacs, Scielo and Google Scholar were searched in June 2015 from inception. Studies were included if they were in English, contained primary data, and had a focus on plantar plate anatomy of the lesser toes or on the relationship between integrity of the plantar plate and MTP joint (in)stability. Study characteristics were extracted into two main tables and descriptive anatomical and histological data were summarized into one schematic 3D drawing of the plantar plate. RESULTS: Nine studies were included in this systematic review, of which five addressed plantar plate anatomy as such and four focused directly and indirectly on plantar plate integrity related to MTP joint stability. CONCLUSION: This is the first systematic review regarding plantar plate anatomy related to MTP joint stability of the lesser toes. This review iterates the importance of plantar plate anatomy and integrity for MTP joint stability, and it delineates the lack of primary data regarding plantar plate anatomy of the lesser toes and MTP joint stability. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13047-016-0165-2) contains supplementary material, which is available to authorized users. BioMed Central 2016-08-19 /pmc/articles/PMC4992309/ /pubmed/27547243 http://dx.doi.org/10.1186/s13047-016-0165-2 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Maas, Nico M. G.
van der Grinten, Margot
Bramer, Wichor M.
Kleinrensink, Gert-Jan
Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
title Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
title_full Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
title_fullStr Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
title_full_unstemmed Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
title_short Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
title_sort metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992309/
https://www.ncbi.nlm.nih.gov/pubmed/27547243
http://dx.doi.org/10.1186/s13047-016-0165-2
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