Back to Q&A
Foot and ankle injury
How is Turf Toe (1st MTP joint hyperextension injury) graded and treated?
Author: Dr. Jiwu Chen
Doctor’s answer
Turf toe involves hyperextension injury to the first metatarsophalangeal (MTP) plantar plate and sesamoid complex. Grade I (mild sprain) is managed with taping and stiff-soled shoes; Grade II (partial tear) typically requires a walking boot or cast immobilization for several weeks; Grade III (complete tear or gross instability) demands strict immobilization, and surgical repair is evaluated for frank joint subluxation, retracted sesamoid fractures, intra-articular loose bodies, or failed non-operative care.
References and sources
This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.