Turf Toe

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