3-4 days free worldwide delivery

Plantar-Plate Disruptions: ‘‘The Severe Turf-Toe Injury.’’ Three Cases in Contact Athletes

by MASS4D® Prescription Orthotics January 23, 2017

Abstracts

The purpose of this study was to review three cases of injury to the plantar plate of the first metatarsophalangeal joint (MTPJ) in contact athletes and to focus on diagnosis and treatment of the more severe toe injuries.

The first case involved a 21-year-old running back participating in National Collegiate Athletic Association (NCAA) Division I football with an injured hallux, which was painful and swollen.

On physical examination, he had a slight flexion contracture of the first MTPJ, which was passively correctable; instability with drawer testing; plantar ecchymosis; and complete loss of plantar-flexion strength when the flexor hallucis brevis (FHB) was isolated.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Radiographs showed proximal retraction of the sesamoids; magnetic resonance imaging confirmed the diagnosis as a complete plantar-plate injury.

Case 2 involved a 21-year-old NCAA offensive lineman who had difficulty with ambulation and was unable to continue playing. On physical examination, his foot was well aligned.

Radiographs with the toe in dorsiflexion demonstrated that his sesamoids did not migrate distally as they did on the contralateral side.

A medial incision revealed a complete disruption of the plantar plate and proximal retraction of the sesamoids.

Case 3 saw a 19-year-old NCAA linebacker with an injured left hallux.

On physical examination, he pointed to the medial and plantar portions of the first MTPJ as the major sites of pain. His alignment was normal.

The patient had some MTPJ flexor weakness, particularly when the FHB was isolated.

Radiographs showed a slight retraction of the sesamoids compared with the contralateral side.

Patients with turf toe can demonstrate a wide array of pathologic conditions. Close attention needs to be paid to the history and mechanism of injury.

Diagnostically, special consideration needs to be paid to the strength, range of motion, and stability examinations, as well as the ability to return to play.

Copyright 2017 MASS4D® All rights reserved. 


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


References:

  1. Mark C. Drakos, Russell Fiore, Conor Murphy, Christopher W. DiGiovanni (2015) Plantar-Plate Disruptions: ‘‘The Severe Turf-Toe Injury.’’ Three Cases in Contact Athletes. Journal of Athletic Training: May 2015, Vol. 5, No. 5, pp. 553-560, doi: 10.4085/1062-6050-49.6.05. 

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Abstracts
Prevention of Diabetic Foot Complications

by MASS4D® Prescription Orthotics November 13, 2018

This paper aimed to discuss the importance of prevention and the authors’ protocol for prevention – in the form of education and foot screening – and to review the existing evidence in the literature regarding the effectiveness of the preventive approach.

Read More

Abstracts
Foot Disorders, Foot Posture, and Foot Function: The Framingham Foot Study

by MASS4D® Prescription Orthotics November 04, 2018

The purpose of this study was to assess the relation between foot disorders, and foot posture and function in a population-based sample of adults.

Read More

Abstract
Potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults

by MASS4D® Prescription Orthotics October 30, 2018

This study aimed to verify the potential for functional abnormality of the foot and plantar fasciitis among people with flat feet.

Read More