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Managing turf-toe in football players

Discussion in 'Biomechanics, Sports and Foot orthoses' started by LER, Dec 7, 2009.

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  1. LER

    LER Active Member

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  3. Admin2

    Admin2 Administrator Staff Member

    Metatarsophalangeal joint sprain

    A metatarsophalangeal joint sprain is an injury to the connective tissue between the foot and one of the toes. When the big toe is involved, it is known as "turf toe".[1][2]

    1. ^ Allen LR, Flemming D, Sanders TG (2004). "Turf toe: ligamentous injury of the first metatarsophalangeal joint". Military Medicine. 169 (11): xix–xxiv. PMID 15605946.
    2. ^ Kubitz ER (2003). "Athletic injuries of the first metatarsophalangeal joint". Journal of the American Podiatric Medical Association. 93 (4): 325–32. PMID 12869604.[permanent dead link]
     
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    Radiographic Evaluation of Plantar Plate Injury
    An In Vitro Biomechanical Study

    Norman E. Waldrop III, Chris A. Zirker, Coen A. Wijdicks, Robert F. LaPrade, Thomas O. Clanton
    Foot & Ankle International January 14, 2013
     
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    Surgical Correction of the Recalcitrant Turf Toe
    McCormick, Jeremy J.; Anderson, Robert B.
    Techniques in Foot & Ankle Surgery: March 2013 - Volume 12 - Issue 1 - p 29–38
     
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    Radiographic Evaluation of Plantar Plate Injury: An In Vitro Biomechanical Study
    Chris A. Zirker, MSc, Vail, Colorado
    Coen A. Wijdicks, PhD, Vail, Colorado
    Robert F. LaPrade, MD, PhD, Vail, Colorado
    Thomas O. Clanton, MD, Vail, Colorado
    AAOS Annual Conference 2013
     
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    Development of an Injury Risk Function for First Metatarsophalangeal Joint Sprains
    Frimenko, Rebecca E.; Brent Lievers, W.; Riley, Patrick O.; Park, Joseph S.; Hogan, MaCalus V.; Crandall, Jeff R.; Kent, Richard W.
    Medicine & Science in Sports & Exercise: 7 May 2013
     
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    An atraumatic turf toe in an elite soccer player–a stress related phenomenon?
    Andrew J. Roche, James D. Calder
    Foot and Ankle Surgery; Available online 5 October 2013
     
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    Incidence and Risk Factors for Turf Toe Injuries in Intercollegiate Football
    Data From the National Collegiate Athletic Association Injury Surveillance System

    Elizabeth George, et al
    Foot & Ankle International December 11, 2013
     
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    Case Series of First Metatarsophalangeal Joint Injuries in Division 1 College Athletes
    John Faltus, et al
    Sports Health: A Multidisciplinary Approach March 20, 2014

     
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    Turf Toe Injury - Extension Sprain of the First Metatarsophalangeal Joint
    Hotfiel T, Carl HD, Jendrissek A, Swoboda B, Barg A, Engelhardt M.
    Sportverletz Sportschaden. 2014 Jul 29
     
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    Case Series of First Metatarsophalangeal Joint Injuries in Division 1 College Athletes
    John Faltus, DPT, MS, SCS, LAT, ATC, CSCS, Kerry Mullenix, PT, SCS, LAT, ATC, Claude T. Moorman III, MD, Kyle Beatty, MS, LAT, ATC, CSCS and Mark E. Easley, MD
    Sports Health: A Multidisciplinary Approach November/December 2014 vol. 6 no. 6 519-526
     
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    Forefoot bending stiffness of cleated American football shoes
    Jeff Crandalla, Edward C. Frederick, Richard Kent, David J. Lessley & Chris Sherwood
    Footwear Science; in press
     
  14. terigreen

    terigreen Active Member

    How about using a stiff steel insole? Steel Stabilizer Plates Insoles, Full Length

    Stabilizer / Insole Plates to Limit Fore-Foot, Metatarsal Joints & Turf Toe

    Used to stiffen the sole of the shoe.
    Limits Range of Motion of the Forefoot and Midfoot.
    Makes shoe Non-Flexible.
    Extremely thin steel stabilizer plate insole, 1/8" thick.
    Comfortable and durable felt top cover.
    These steel insole plates are constructed to Limit Dorsiflexion at the metatarsal joints.
    Immobilizes toe joint to prevent it from bending during walking and sports.

    Atlas Biomechanics
     
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    Management of Athletic Turf Toe using Biologics
    Aaron V. Mares, MD, , Ryan Schreiter, DO, Carola F. van Eck, MD PhD, Robert Blanc, MS LAT ATC, Volker Musahl, MD
    Operative Techniques in Orthopaedics; 2 March 2016
     
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    Quantifying the forefoot bending stiffness of cleated American football shoes using the Football American Shoe Tester (FAST)
    David J. Lessley et al
    Footwear Science; in press
     
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    Operative Treatment of Traumatic Hallux Valgus in Elite Athletes.
    Covell DJ, Lareau CR, Anderson RB
    Foot Ankle Int. 2017 Mar 1:1071100717697961. doi: 10.1177/1071100717697961.
     
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    Turf Toe: 40 Years Later and Still a Problem
    Daniel Cole Marchetti et al
    Operative Techniques in Sports Medicine Article in Press
     
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    Surgical Outcomes of Severe Turf Toe Injuries in High-Level Football Players
    Norman Waldrop MD, Kenneth Smith, MD
    Foot & Ankle Orthopaedics September 18, 2017
     
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    15 The management of turf toe – a systematic review
    L Hainsworth, J McKinley
    Br J Sports Med 2017;51:A7-A8.
     
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    Operative Outcomes of Grade 3 Turf Toe Injuries in Competitive Football Players
    Kenneth Smith MD, Norman Waldrop, MD
    Foot & Ankle International June 17, 2018
     
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    Turf toe
    A clinical update

    Ali-Asgar Najefi, Luckshmana Jeyaseelan, Matthew Welck
    Published Online:24 Sep 2018
     
  26. terigreen

    terigreen Active Member

    Many patients with turf toe do very well with a steel insole, either a full length or 1/2 length. It stabilizes the forefoot to allow the IPJ to heal.

    Teri Green
    Atlas Biomechanics
     
  27. Dananberg

    Dananberg Active Member

    I have come to see turf toe and hallux limitus as conditions which hurt because the MTP joint does NOT move when demand is the greatest. Looking at this as a problem which hurts because is moves misses the underlying issue. The most common issue is inhibition of the peroneus longus, and secondary failure to stabilize the joint during max demand. Manipulation of the ankle and cuboid and perhaps the 1st metatarsal cuneiform joint can resolve this spontaneously. I have treated this with success countless times. Using steel plates only serves to invert the foot and create symptoms elsewhere in the body.

    Howard
     
  28. Lab Guy

    Lab Guy Well-Known Member

    It is rare to find a Podiatrist in the USA that uses manipulation as part of their treatment. It is sad, as it can be so helpful.
    Steven
     
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