Figure 2c. Disrupted plantar plate at the second MTP joint in a 48-year-old woman who presented with foot pain. The patient had no history of acute trauma. (a) Coronal fat-suppressed fast spin-echo proton-density-weighted MR image shows edema in the region of the plantar plate. The lateral aspect of the plate is not visualized (arrow). (b, c) Sagittal gadolinium-enhanced fat-suppressed T1-weighted MR images obtained at the medial (b) and lateral (c) aspects of the second MTP joint show a thin, irregular, indistinct plantar plate medially (arrows in b). The plate appears to be disrupted laterally (arrow in c). Note the fluid accumulation and contrast material enhancement within the joint and the adjacent flexor tendon sheath, findings that indicate synovitis and tenosynovitis, respectively. The proximal phalanx is hyperextended.