How to Assess Plantar Plate Anatomy and Tears on MRI

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With a bit of a cold, in this video, I show you the anatomy of the plantar plate of the metatarsophalangeal joints on MRI, how to identify tears of the plantar plates on MRI, and how to differentiate them from Morton's neuroma.

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I’m PD Dr. med. Christoph Agten, an MSK radiologist and mentor. I founded the Virtual MSK Fellowship, where 200+ radiologists have mastered MSK faster than they thought possible. I’m a teleradiologist who's completed MSK fellowships in Zurich and NYU, written 40+ research papers, and published the bestselling book SPEED MSK.

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References:
1. MR Imaging of the Plantar Plate: Normal Anatomy, Turf Toe, and Other Injuries.
Nery C, Baumfeld D, Umans H, Yamada AF.
https://www.ncbi.nlm.nih.gov/pubmed/2...

2. MRI of lesser metatarsophalangeal joint plantar plate tears and associated adjacent interspace lesions.
Umans H, Srinivasan R, Elsinger E, Wilde GE.
https://www.ncbi.nlm.nih.gov/pubmed/2...

3. Evaluation of lesser metatarsophalangeal joint plantar plate tears with contrast-enhanced and fat-suppressed MRI.
Dinoá V, von Ranke F, Costa F, Marchiori E.
https://www.ncbi.nlm.nih.gov/pubmed/2...

4. Predictive MRI correlates of lesser metatarsophalangeal joint plantar plate tear.
Umans RL, Umans BD, Umans H, Elsinger E.
https://www.ncbi.nlm.nih.gov/pubmed/2...

5. Flouroscopic arthrography versus MR arthrography of the lesser metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule: a prospective comparative study.
Mazzuca JW, Yonke B, Downes JM, Miner M.
https://www.ncbi.nlm.nih.gov/pubmed/2...

6. MRI evaluation of the MTP plantar plates compared with arthroscopic findings: a prospective study.
Nery C, Coughlin MJ, Baumfeld D, Mann TS, Yamada AF, Fernandes EA.
https://www.ncbi.nlm.nih.gov/pubmed/2...

7. MR arthrography of the second and third metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule.
Kier R, Abrahamian H, Caminear D, Eterno R, Feldman A, Abrahamsen T, Davis D, Rice A.
https://www.ncbi.nlm.nih.gov/pubmed/2...

8. MRI of the metatarsophalangeal joints: improved assessment with toe traction and MR arthrography.
Lepage-Saucier M, Linda DD, Chang EY, Huang BK, Fliszar EA, Trudell D, Resnick D.
https://www.ncbi.nlm.nih.gov/pubmed/2...

9. Second and Third Metatarsophalangeal Plantar Plate Tears: Diagnostic Performance of Direct and Indirect MRI Features Using Surgical Findings as the Reference Standard.
Yamada AF, Crema MD, Nery C, Baumfeld D, Mann TS, Skaf AY, Fernandes ADRC.
https://www.ncbi.nlm.nih.gov/pubmed/2...

10. Imaging of Lesser Metatarsophalangeal Joint Plantar Plate Degeneration, Tear, and Repair.
Linklater JM, Bird SJ.
https://www.ncbi.nlm.nih.gov/pubmed/2...

#PlantarPlate #MSKradiology #MRI