Managing turf-toe in football players

NewsBot · Dec 26, 2023

Turf toe: a review of mechanism, pathoanatomy and management
Juliet M. Clutton, Daniel MG. Winson, Aureola Tong
Orthopaedics and Trauma; 22 December 2023

Turf toe is characterized by sprain or disruption of the plantar capsuloligamentous structures of the first metatarsophalangeal joint and usually occurs due to injury during contact sports such as rugby and American football. The clinical presentation typically includes pain, swelling, and ecchymosis at the plantar surface of the first metatarsophalangeal joint, with associated weakness during push off. Diagnostic evaluation involves thorough physical examination, stressing of ligaments, and imaging with radiographs and magnetic resonance imaging. Treatment is based on classification, but is generally conservative, with surgical management being reserved for patients who fail to improve with non-operative methods. Chronic injuries may be associated with worse outcomes, and therefore early diagnosis and treatment is vital.
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NewsBot · Feb 28, 2024

The role of arthroscopy in the treatment of “turf toe” impingement syndrome in athletes: clinical outcomes and return to sport
Angelo BERTELLI, Danya FALCIONI
Medicina dello Sport 2023 September;76(3):374-90

BACKGROUND: “Turf toe” impingement syndrome is a well-known sport-related pathological condition affecting the first metatarsophalangeal joint. It commonly occurs when repeated axial and twisting forces are applied to an equinus forefoot with hyper-dorsiflexion of the first metatarsophalangeal joint. When nonoperative measures fail, surgical treatment is indicated. The aim of the study is to report clinical outcomes and return to sport, after arthroscopic treatment.
METHODS: It is a retrospective study on 85 patients treated by arthroscopic technique in the period between January 2005 and December 2022. Patients were evaluated by clinical examination and by weight-bearing X-ray (antero-posterior and lateral view) and by MRI before surgery. All patients were evaluated by the American Orthopedic Foot and Ankle Society (AOFAS) Hallux Score and the VAS (Visual Analogue Scale) Score before surgery and 6 months after surgery.
RESULTS: Fifty-eight male and twenty-seven female patients with a median age of 28 years (range, 17-35 years) were arthroscopically treated. All patients were active in sport. Forty-five patients had bony and soft tissue impingement, 22 patients had soft tissue impingement, 18 patients had metatarsophalangel condral suffering, three of whom with a loose body. The average follow-up was 12 months (6-24 months). Two patients needed open surgical treatment. Three patients did not return to the previous professional level of sport activity. Mean AOFAS Hallux Score increased from 46.4±13.4 before surgery to 92±18.2 6 after surgery. Mean VAS Score decreased from 8.7±1.8 before surgery to 4.4±1.3 after surgery.
CONCLUSIONS: Literature on arthroscopic treatment of “turf toe” with bony and soft tissue impingement is poor. This study reports good clinical results with return to previous level of sport activity in most cases. It is a safe and effective procedure in selected patients with correct indications and when performed by skilled surgeon.
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Managing turf-toe in football players

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Managing turf-toe in football players

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Managing the diabetic foot in resource-poor settings

Protocols On Managing Clinical Waste For Domicilary Treatments

Managing Orthopaedic Surgical Wounds of the Foot and Ankle

Efficacy of reflexology in managing patients with diabetic neuropathy

Managing Foot and Ankle Injuries in Dance and Sport

Electrophysical therapy for managing diabetic foot ulcers

managing pain associated with lipoma

Share This Page

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