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Please consider a donation if you feel the blog has helped you. A $5 donation will help me pay for the blog artwork, guest writers, etc. $100 has been donated in June 2017. I am very honored and grateful. Dr Rich Blake


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I would love you to consider purchasing my book from Book Baby publishing. The printed book goes for $79.95, but the ebook is now available for $4.99. I hope it helps many people. Thank you. Rich (eBook) (print)

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Saturday, February 25, 2017

Turf Toe Stable or Unstable: Surgery or No Surgery

I just reviewed an MRI and x-rays of a patient with chronic sesamoid injury and there definitely was plantar plate involvement. This is a great article documenting an unstable plantar plate with a 2mm forward position of the non injured sesamoids. The x-rays should be taken in a position where the big toe is bent upwards, called a stress x-ray. 

Arrow under the big toe joint shows a disrupted plantar ligament (plantar plate) with intense inflammation.

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.