Dr. Jiwu Chen

Dr. Jiwu Chen
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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

  1. https://journals.sagepub.com/doi/10.1177/1071100718797825
  2. https://www.orthoinfo.org/en/diseases--conditions/turf-toe/

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.