HSS Ultrasound of the Month Case 123

Clinical History 37-year-old male with pain beneath the second toe.

Diagnostic ultrasound of the toe was requested.

Ultrasound of the Month – Case 123

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Ultrasound of the Month – Case 123

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Diagnosis: Plantar Plate Tear The plantar plate, together with the collateral ligaments, is important for sagittal stability of the lesser MTP joints.

Tear of the plantar plate can result in metatarsalgia, instability, and chronic deformity such as crossover toe, hammertoe, and claw toe.

MRI has historically been the first line imaging modality for assessing the integrity of the plantar plate.

Ultrasound may be a good imaging option for assessing the plantar plate for its superior spatial resolution, lower cost, and ability to perform a focused exam.

Ultrasound of the Month – Case 123

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