0:00

Let's go on to, um,

0:04

some plantar plate injuries.

0:06

So we talked about the normal structure, sort

0:08

of a thickening of the capsule, uh, on the plantar aspect

0:12

of the MTP joints.

0:14

So in this case, they were concerned

0:16

for a plantar plate injury.

0:17

Um, we're gonna go this time to the second, uh, toe

0:22

and what you can see here is

0:25

that we have the second MTP joint.

0:28

Um, we have the flexor tendon below,

0:31

but we have more than

0:33

what we typically would see for a recess.

0:35

You're seeing kind of a big fluid gap edema.

0:40

And so this was a plantar plate tear, um, at the,

0:44

at the second MTP joint.

0:45

You can see here that there's too much fluid here.

0:47

There's a discontinuity. I'll show the adjacent, uh, joint.

0:51

Here. You can see a more normal plantar plate.

0:53

Uh, this other tote.

0:54

It's always important to image at least one

0:57

or two other, um, other toes or other, other fingers.

1:01

Uh, if you're evaluating the hand to get a sense

1:04

of normal control within that same patient.

1:06

We're very, very helpful. Uh,

1:08

so here you can see a beautiful plantar plate attaching

1:11

to the base of the failings,

1:12

but then we go to the affected toe.

1:15

We see that there's obviously a disruption, uh, fluid here.

1:20

And this was a plantar plate tear.

1:23

Save the questions here just for a second here.

1:25

Lemme just see, see if there's something related to that.

1:29

Um, is the normal first MTP plantar plate recess

1:32

that you put in the others, um,

1:35

so the question is about the, the planter plate

1:37

of the first toe.

1:38

Is that recess that we see

1:41

a little bit bigger than the other toes?

1:43

Um, I just,

1:47

from just personal experience, I think the whole,

1:50

the great toe is just, has a little bit bigger than all the

1:51

other toes just in general.

1:53

So everything might be a tiny bit bigger.

1:55

Uh, I still kind of use the same rules.

1:57

If it looks like a small little slit, uh, versus something

2:00

that's more than two and a half millimeters in irregular,

2:01

then um, I use that to kind of diagnose.