Definition
Hyper-dorsiflexion injury to 1st MTP joint
Management
Grade 1 - Mild sprain
Symptoms
- minimal swelling / ecchymosis
Management
- return to play immediately
- RICE / NSAIDS
Grade 2 Partial tear plantar plate
Symptoms
- tender / swelling / ecchymosis
Management
- return to sport 1-2 weeks
- taping toe to prevent hyper-extension
- stiff soled shoes
Grade 3 complete tear plantar plate
Symptoms
- marked pain / swelling / ecchymosis / marked decrease ROM
- +/- sesamoid fracture / disruption of FHB
Management
- return to sport 3-6 weeks
- surgical removal of loose bodies
Unstable
- see proximal displacement of sesamoids
- require operative repair of plantar plate