{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T22:07:29Z","timestamp":1779919649644,"version":"3.53.1"},"reference-count":32,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinics in Podiatric Medicine and Surgery"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.cpm.2026.02.018","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:34:57Z","timestamp":1779917697000},"page":"485-497","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lesser Metatarsophalangeal Joint Instability"],"prefix":"10.1016","volume":"43","author":[{"given":"Charles Churk Hang","family":"LI","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tun Hing","family":"LUI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cpm.2026.02.018_bib1","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/1071100712471825","article-title":"Clinical examination of plantar plate abnormality: a diagnostic perspective","volume":"34","author":"Klein","year":"2013","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib2","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s00276-007-0188-2","article-title":"Histologic anatomy of the lesser metatarsophalangeal joint plantar plate","volume":"29","author":"Gregg","year":"2007","journal-title":"Surg Radiol Anat"},{"key":"10.1016\/j.cpm.2026.02.018_bib3","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1177\/107110079501600804","article-title":"Anatomy of the plantar plate and its attachments in the lesser metatarsal phalangeal joint","volume":"16","author":"Deland","year":"1995","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib4","doi-asserted-by":"crossref","first-page":"1995","DOI":"10.1002\/jor.22173","article-title":"Stability of the metatarsophalangeal joint of the lesser toes: a cadaveric study","volume":"30","author":"Suero","year":"2012","journal-title":"J Orthop Res"},{"key":"10.1016\/j.cpm.2026.02.018_bib5","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1053\/j.jfas.2004.05.011","article-title":"Plantar plate repair of the second metatarsophalangeal joint: technique and tips","volume":"43","author":"Blitz","year":"2004","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib6","doi-asserted-by":"crossref","first-page":"301","DOI":"10.3113\/FAI.2012.0301","article-title":"Lesser metatarsophalangeal joint instability: prospective evaluation and repair of plantar plate and capsular insufficiency","volume":"33","author":"Nery","year":"2012","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib7","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1177\/107110079401500508","article-title":"The plantar plate of the lesser toes: an anatomical study in human cadavers","volume":"15","author":"Johnston","year":"1994","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib8","doi-asserted-by":"crossref","first-page":"133","DOI":"10.3113\/FAI.2012.0133","article-title":"Metatarsophalangeal joint pathology in crossover second toe deformity: a cadaveric study","volume":"33","author":"Coughlin","year":"2012","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib9","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1053\/j.jfas.2013.03.005","article-title":"Metatarsophalangeal joint instability of the lesser toes","volume":"53","author":"Doty","year":"2014","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib10","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/107110070002100503","article-title":"The medial crosssover toe: a cadaveric dissection","volume":"21","author":"Deland","year":"2000","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib11","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/107110078500600104","article-title":"Monoarticular synovitis of the metatarsophalangeal joint: a new diagnosis?","volume":"6","author":"Mann","year":"1985","journal-title":"Foot Ankle"},{"key":"10.1016\/j.cpm.2026.02.018_bib12","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.fcl.2012.06.004","article-title":"Pull-out technique for plantar plate repair of the metatarsophalangeal joint","volume":"17","author":"Sanhudo","year":"2012","journal-title":"Foot Ankle Clin"},{"key":"10.1016\/j.cpm.2026.02.018_bib13","doi-asserted-by":"crossref","first-page":"669","DOI":"10.2106\/00004623-196951040-00005","article-title":"Anatomy and physiology of the extensor apparatus of the toes","volume":"51","author":"Sarrafian","year":"1969","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.cpm.2026.02.018_bib14","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/1938640010397342","article-title":"Anatomic plantar plate repair using the Weil metatarsal osteotomy approach","volume":"4","author":"Weil","year":"2011","journal-title":"Foot Ankle Spec"},{"key":"10.1016\/j.cpm.2026.02.018_bib15","first-page":"1446","article-title":"Surgical repair of chronic tears of the second plantar plate","volume":"27","author":"Yu","year":"2013","journal-title":"Chung Kuo Hsiu Fu Chung Chien Wai Ko Tsa Chih"},{"key":"10.1016\/j.cpm.2026.02.018_bib16","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1053\/j.jfas.2007.12.008","article-title":"Combined plantar plate and hammertoe repair with flexor digitorum longus tendon transfer for chronic, severe sagittal plane instability of the lesser metatarsophalangeal joints: preliminary observations","volume":"47","author":"Bouch\u00e9","year":"2008","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib17","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/S1067-2516(98)80114-2","article-title":"Stabilization of the subluxed second metatarsophalangeal joint: flexor tendon transfer versus primary repair of the plantar plate","volume":"37","author":"Ford","year":"1998","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib18","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1177\/1938640013502723","article-title":"The direct plantar plate repair technique","volume":"6","author":"McAlister","year":"2013","journal-title":"Foot Ankle Spec"},{"key":"10.1016\/j.cpm.2026.02.018_bib19","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.fcl.2014.06.013","article-title":"Etiology and management of lesser toe metatarsophalangeal joint instability","volume":"19","author":"Doty","year":"2014","journal-title":"Foot Ankle Clin"},{"issue":"9","key":"10.1016\/j.cpm.2026.02.018_bib20","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1177\/1071100714539659","article-title":"Prospective evaluation of protocol for surgical treatment of lesser MTP joint plantar plate tears","volume":"35","author":"Nery","year":"2014","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib21","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s00402-006-0224-4","article-title":"Arthroscopic-assisted correction of claw toe or overriding toe deformity: plantar plate tenodesis","volume":"127","author":"Lui","year":"2007","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib22","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1007\/s00402-011-1293-6","article-title":"Correction of crossover deformity of second toe by combined plantar plate tenodesis and extensor digitorum brevis transfer: a minimally invasive approach","volume":"131","author":"Lui","year":"2011","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib23","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.fas.2008.03.001","article-title":"Stabilization of first metatarsophalangeal instability with plantar plate tenodesis","volume":"14","author":"Lui","year":"2008","journal-title":"Foot Ankle Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib24","doi-asserted-by":"crossref","first-page":"584","DOI":"10.3113\/FAI.2010.0584","article-title":"Modified plantar plate tenodesis for correction of claw toe deformity","volume":"31","author":"Lui","year":"2010","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.cpm.2026.02.018_bib25","doi-asserted-by":"crossref","first-page":"e1273","DOI":"10.1016\/j.eats.2016.07.013","article-title":"Correction of crossover toe deformity by arthroscopically assisted plantar plate tenodesis","volume":"5","author":"Lui","year":"2016","journal-title":"Arthrosc Tech"},{"key":"10.1016\/j.cpm.2026.02.018_bib26","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.fas.2016.05.313","article-title":"Modified double plantar plate tenodesis","volume":"23","author":"Lui","year":"2017","journal-title":"Foot Ankle Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib27","first-page":"e1921","article-title":"Correction of severe crossover toe deformity by plantar plate tenodesis, arthroscopic release of lumbrical and plication of lateral capsuloligamentous complex","volume":"10","author":"Lui","year":"2021","journal-title":"Arthrosc Tech"},{"key":"10.1016\/j.cpm.2026.02.018_bib28","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.cpm.2011.05.004","article-title":"Small joint arthroscopy of the foot","volume":"28","author":"Derner","year":"2011","journal-title":"Clin Podiatr Med Surg"},{"key":"10.1016\/j.cpm.2026.02.018_bib29","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/j.arthro.2007.03.003","article-title":"Arthroscopy and endoscopy of the foot and ankle: indications for new techniques","volume":"23","author":"Lui","year":"2007","journal-title":"Arthroscopy"},{"key":"10.1016\/j.cpm.2026.02.018_bib30","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.arthro.2014.03.018","article-title":"Lesser metatarsal phalangeal joint arthroscopy: anatomic description and comparative dissection","volume":"30","author":"Nery","year":"2014","journal-title":"Arthroscopy"},{"key":"10.1016\/j.cpm.2026.02.018_bib31","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1186\/s13018-015-0318-1","article-title":"Plantar plate RF and Weil osteotomy for subtle MTP joint instability","volume":"10","author":"Nery","year":"2015","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.cpm.2026.02.018_bib32","series-title":"Arthroscopy and endoscopy of the foot and ankle. Principle and practice","article-title":"Chapter 12.3 Arthroscopic repair of the plantar plates of the lesser metatarsophalangeal joins","author":"Nery","year":"2019"}],"container-title":["Clinics in Podiatric Medicine and Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891842226000315?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891842226000315?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:35:36Z","timestamp":1779917736000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0891842226000315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0891842226000315"],"URL":"https:\/\/doi.org\/10.1016\/j.cpm.2026.02.018","relation":{},"ISSN":["0891-8422"],"issn-type":[{"value":"0891-8422","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Lesser Metatarsophalangeal Joint Instability","name":"articletitle","label":"Article Title"},{"value":"Clinics in Podiatric Medicine and Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cpm.2026.02.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}