Minimally Invasive Management of Dorsiflexion Contracture at the Metatarsophalangeal Joint and Plantarflexion Contracture at the Proximal Interphalangeal Joint of the Fifth Toe

  • Mariano de PradoEmail author
  • Pedro-Luis Ripoll
  • Pau Golanó
  • Javier Vaquero
  • Filippo Spiezia
  • Nicola Maffulli


Surgical management of persistent dorsiflexion contracture at the metatarsophalangeal joint and plantarflexion contracture at the proximal interphalangeal joint of the fifth toe is indicated in patients with marked rigidity and pain, following failure of conservative management with appropriate orthoses and shoes with a wide toe box.


Flexor Tendon Interphalangeal Joint Extensor Digitorum Proximal Phalanx Metatarsophalangeal Joint 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Augustine DF, Jacobs JF. Restoration of toe function with minimal traumatic procedures including advanced diaphysectomy. Clin Podiatry. 1985;2:457–470.PubMedGoogle Scholar
  2. 2.
    Dyal CM, Davis WH, Thompson FM, et al. Clinical evaluation of the Ruiz-Mora procedure: long-term follow-up. Foot Ankle Int. 1997;18:94–97.PubMedCrossRefGoogle Scholar
  3. 3.
    Janecki CJ Jr. Triggering of the finger caused by flexor-tendon laceration. J Bone Joint Surg Am. 1976;58:1174–1175.PubMedGoogle Scholar

Copyright information

© Springer London 2010

Authors and Affiliations

  • Mariano de Prado
    • 1
    Email author
  • Pedro-Luis Ripoll
  • Pau Golanó
  • Javier Vaquero
  • Filippo Spiezia
  • Nicola Maffulli
  1. 1.Department of OrthopaedicsHospital USP San CarlosMurciaEspaña

Personalised recommendations