The plantar plate is a deep strong ligament that holds the interphalangeal joints together and down. An increase of load or plantar pressure could result in the rupture of this ligament. This could either be from sudden acute trauma or chronic micro trauma over a long period of time.

Acute trauma could be caused by sudden propulsion of injury whilst chronic can be cause by poor biomechanics.

Plantar plate tears are often seen with patients with bunions and an increase pressure on the 2nd metatarsal. Subsequently due to poor biomechanics and increased pressure you will notice the toe will start to rise and cause a hammer toe deformity most affecting the 2nd toe.

Symptoms of this include :

  • Pain
  • Swelling
  • Tenderness

The best way to diagnose this is to have an assessment with a podiatrist and or with the aid of imaging modalities.

Treatments of plantar plates are often treated conservatively based on the severity. This can be achieved with sport taping, customised orthotics and medication. In severe chronic cases surgery or injections interdigitally may have to be conducted. If you think you may have any of these symptoms feel free to book an appointment with our Podiatrist.