Second metatarsophalangeal joint plantar plate tear
Focal pain over the second metatarsal head with toe deformity.
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Linear (longitudonal) defect in the plantar plate (arrow) with surrounding soft tissue swelling but no bone marrow oedema or specific joint pathology.
Plantar plates form part of the MTP joint capsule. They are a major stabiliser of the MTP. Disruption causes pain and deformity of the joint often with secondary joint inflammation (synovitis).