Best Practice Case Studies-Case 125 Asset 1 Turf Toe

Video Transcription

Video Summary

A 17-year-old male developed left great toe pain after a soccer injury. Exam suggested either fracture or first MTP capsuloligamentous injury (“turf toe”). The video reviews first MTP sesamoid anatomy, including the plantar plate, sesamoid phalangeal ligaments, collateral ligaments, and tendon attachments. Initial foot radiographs showed no fracture or dislocation. MRI then demonstrated a high-grade partial tear of the medial sesamoid phalangeal ligament and a lower-grade partial tear of the lateral sesamoid phalangeal ligament, with intact intersesamoid ligament. Radiographs are first-line; MRI is the gold standard when suspicion persists.

Meta Tag

Concept First Metatarsophalangeal Joint

Concept Turf Toe

Concept Magnetic Resonance Imaging

Concept Sesamoid Bones

Concept Plantar Plate

Edition 4th Edition

Related Case 4th Edition, Case 125

Topic Foot

Keywords

4th Edition

4th Edition, Case 125

Foot

turf toe

first MTP injury

sesamoid phalangeal ligament tear

MRI diagnosis

soccer toe injury

First Metatarsophalangeal Joint

Magnetic Resonance Imaging

Sesamoid Bones

Plantar Plate