Turf toe is an painful injury to the base of the big toe that typically occurs in athletes who play field sports, such as football, baseball or soccer. Turf toe describes an injury to the joint at the base of the big toe when an athlete forcefully jams his toe into the ground or bends his toe backward, beyond its normal limits. The injury often occurs on a grass or artificial turf playing field which is why the name "turf toe" was adopted.
Turf Toe Symptoms;
These are the symptoms of turf toe:
- Pain at the base of the big toe
- Swelling of the toe and ball of foot
- Popping sound can be heard or felt at time of injury
- Limited movement of the toe
- Reduced mobility
- Bruising around the ball of the foot and along the top of the big toe
- Tenderness when touched
Complications of Turf Toe;
Turf toe, even if it is properly treated, has been known to cause long-term problems, including hallux rigidus, hallux valgus, and failure to regain push-off strength. Short-term complications include compromised push-off and running abilities, and players frequently miss games due to the injury. Turf toe can also lead to hyperflexion injuries.
Preventing Turf Toe;
Here are some tips to help you prevent turf toe:
- Wear shoes that offer protection, especially in the toe box
- Wear cleats instead of tennis shoes, since they usually have built-in plastic soles
- Pencil Pick-Up: This exercise requires you to place a pencil on the ground in front of you while you are seated in a chair. Using your toes, pick the pencil up and hold it for a few seconds at a time. Repeat this exercise ten times. Items such as marbles can also be used for this exercise.
- Toe Walking: You want to do this exercise slowly at first. Stand on your tip toes and walk ten to fifteen steps at a time. Once you get good at doing this, increase your distance from ten to fifteen steps to twenty to twenty-five steps, and so on.
Turf Toe Classification;
Grade I: Micro- or minor tearing of the capsuloligamentous complex of the 1st MTP joint. No associated injuries.
Grade I: Micro- or minor tearing of the capsuloligamentous complex of the 1st MTP joint. No associated injuries.
Grade II: Partial tear of the
capsuloligamentous complex of the 1st MTP joint without involvement of the
articular surface. No associated injuries.
Grade III: Complete tear of the
capsuloligamentous complex of the 1st MTP joint, tearing of the plantar plate
from its origin on the metatarsal head/neck, and dorsal impaction of the
proximal phalanx into the metatarsal head. Associated injuries include
articular cartilage or subchondral bone bruise, sesamoid fracture, diastasis of
the sesamoids, and medial or lateral ligament injury.
Signs and Symptoms of Turf Toe;
Grade I: Localized tenderness with minimal swelling and no bruising
Grade I: Localized tenderness with minimal swelling and no bruising
Grade II: Widespread tenderness with mild to
moderate swelling and bruising. Range of motion is moderately restricted and
there is pain with weight bearing.
Grade III: Severe and diffuse tenderness and
swelling, moderate to severe bruising, and painful range of motion.
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