Challenge of the week / Foot & Ankle / 06.14.19

A 42-year-old patient with a long second toe presents with forefoot pain. Radiographs demonstrate no bony changes or dislocation at the metatarsophalangeal (MTP) joints. Which of the following physical examination findings supports the diagnosis of plantar plate injury?

  • Pain at maximal plantar flexion
  • Pain with metatarsal squeeze
  • Positive drawer test
  • Presence of Mulder’s click