Plantar plate tear

Case contributed by Dr Utkarsh Kabra

Presentation

Pain at the plantar aspect of 3rd metatarsophalangeal joint; suspected Morton's neuroma.

Patient Data

Age: 35 years
Gender: Female
MRI

Hyperintensity is seen in the lateral aspect of plantar plate of 3rd metatarsophalangeal joint with surrounding edema. Edema is also seen in the adjacent web space, giving the appearance of a pesudo-Morton neuroma (pseudoneuroma sign 1).

MRI

Follow up MRI done after 1 month shows increase in the hyperintensity in the lateral aspect of plantar plate of 3rd metatarsophalangeal joint, essentially confirming the diagnosis.

Case Discussion

The above case depicts a partial tear of the plantar plate of the 3rd metatarsophalangeal joint. Edema is seen in the adjacent web space, which should not be mistaken for a Morton neuroma. This is also referred to as the 'pseudoneuroma sign' 1.

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Case information

rID: 71070
Published: 17th Sep 2019
Last edited: 21st Sep 2019
Inclusion in quiz mode: Included
Institution: Getwell Poly Clinic & Hospital

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