First MTP joint instability — Expanding the concept of “Turf-toe” injuries

Nery, Caio; Fonseca, Lucas Furtado da; Gonçalves, João Paulo; Mansur, Nacime Salomão Barbachan; Lemos, André Vitor Kerber Cavalcante; Maringolo, Leonardo Fernadez

doi:10.1016/j.fas.2018.11.009

Cited by 11 publications

(12 citation statements)

References 16 publications

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“…In a case series, Nery et al 29 write of “expanding the concept of ‘turf toe’” and describe 24 cases of traumatic MTP-1 joint injuries with an average follow-up of 4.5 yrs. The most common inciting sporting activity was soccer (33%), followed by martial arts (17%; including two jiu-jitsu athletes, treated conservatively) and running (13%).…”

Section: Discussionmentioning

confidence: 99%

“…[30][31][32][33] There are few reports of successful nonoperative management. 29 This article presents a case in which a grade II injury or partial MCL fiber disruption and development of mild THV was diagnosed in clinic using musculoskeletal ultrasound to allow for effective nonoperative management.…”

mentioning

confidence: 99%

“…Delayed diagnosis may lead to acquired traumatic hallux valgus (THV) requiring more complex operative intervention and longer return to play or work 30–33 . There are few reports of successful nonoperative management 29 . This article presents a case in which a grade II injury or partial MCL fiber disruption and development of mild THV was diagnosed in clinic using musculoskeletal ultrasound to allow for effective nonoperative management.…”

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confidence: 99%

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The Utility of Ultrasound in Evaluation of Traumatic Hallux Valgus: a Case Report

Fultz¹,

Luetmer²,

Onishi³

2022

Am J Phys Med Rehabil

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Isolated disruption of the medial collateral ligament of the great toe is rare and often misdiagnosed as turf toe. It may progress to acquired traumatic hallux valgus, often requiring operative intervention and a longer return to play. This case of a grade II medial collateral ligament injury highlights the importance of a thorough physical examination and consideration of the mechanism of injury. It demonstrates the utility of diagnostic musculoskeletal ultrasound in establishing a specific diagnosis upon initial patient presentation with great toe pain. It is an example of the use of ultrasound in guiding treatment and monitoring interval healing. In this case, differentiation of the injury from the classic “turf toe” led to proper stabilization with a toe spacer and activity modification, thus preventing progression of traumatic hallux valgus and leading to successful nonoperative treatment with full return to sport.Level of EvidenceLevel V

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Utility of Ultrasound in Evaluation of Traumatic Hallux Valgus: a Case Report

Fultz¹,

Luetmer²,

Onishi³

2022

Am J Phys Med Rehabil

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“…6 Turf-Toe es una lesión potencialmente grave que puede provocar secuelas como dolor, debilidad para empujar con el MTF1, rigidez, deformidad, desarrollo de artrosis con impacto funcional en las actividades deportivas y de la vida diaria. 5,7 El propósito del manejo inicial de la lesión Turf-Toe es eliminar el dolor y disminuir el edema con reposo, hielo, compresión, elevación de la extremidad y medicamentos antinflamatorios; 8 este manejo conservador y la inmovilización, en promedio de ocho semanas, es el tratamiento indicado en las lesiones grado I y II. En contraste, la información publicada aún es insuficiente para establecer el manejo estándar de la lesión grado III; 5 se ha demostrado que el manejo quirúrgico de ésta presenta evolución clínica satisfactoria con menor tiempo de inmovilización comparado con el manejo conservador.…”

Section: Introductionunclassified

Turf-Toe traumático: diagnóstico desafiante y tratamiento controvertido

Gómez-Carlin¹,

Yáñez-Solís²,

Patiño-Fernández³

et al. 2020

Acta Ortopédica Mexicana

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“…Los pacientes pueden presentar inestabilidad en varo como resultado de un desgarro de la cápsula lateral, ruptura del ligamento colateral externo, así como de la rotura del tendón del aductor del dedo gordo en la base de la falange proximal. 2 Las radiografías simples pueden demostrar una avulsión capsular asociada, fractura por compresión; fractura de sesamoideo, diástasis o migración proximal. La resonancia magnética también puede revelar la extensión de la lesión en cada componente de la estructura capsulo-ligamentosa incluida la placa plantar, los ligamentos colaterales y los tendones flexores y extensores.…”

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