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Outcomes of Chronic Turf Toe Repair in Non-athlete Population: A Retrospective Study

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Abstract

Background

Turf toe injuries, though most common in athletes, can also occur in non-athletes. No study exists in the current literature investigating operative outcomes in non-athlete patients with chronic turf toe injury. In this study, we present our outcomes on operatively treated turf toe injuries in non-athletes in the only cohort yet studied.

Methods

Using ICD-10 codes, we assembled a cohort of 12 patients who underwent operative repair of chronic turf toe injury from January 2012 through January 2018 at the investigating institution. These 12 patients were evaluated to determine demographic information, method of injury, length of time from injury to surgery, clinical and radiologic characteristics of the injury, and operative outcomes including mean preoperative and postoperative VAS (Visual Analog Scale) scores, preoperative and postoperative FFI (Foot Function Index) scores, and postoperative complications.

Results

On initial clinical presentation, all 12 patients had local tenderness with associated painful range of motion. Four patients had restricted range of motion, all patients had a positive Lachman test, two had local edema, and eight had hallux valgus deformity. Mean VAS improved from 4.6 (range 2–9) to 1 (range 0–4). Mean FFI improved from 102.5 (range 56–177) to 61.75 (range 23–144). All patients had a negative Lachman test at final follow-up. No patients developed major complications or required revision surgery.

Conclusions

Our study is the first to investigate operative outcomes following chronic turf toe injury in non-athlete patients. Based on our study, surgeons and patients can expect significant improvement in overall pain and function following surgery.

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References

  1. Clanton, T. O., & Ford, J. J. (1994). Turf toe injury. Clinics in Sports Medicine,13, 731–741.

    CAS  PubMed  Google Scholar 

  2. Coughlin, M. J., Kemp, T. J., & Hirose, C. B. (2010). Turf toe: soft tissue and osteocartilaginous injury to the first metatarsophalangeal joint. The Physician and Sportsmedicine,38, 91–100.

    Article  Google Scholar 

  3. Lui, T. H. (2008). Stabilization of first metatarsophalangeal instability with plantar plate tenodesis. Foot and Ankle Surgery.,14, 211–214.

    Article  CAS  Google Scholar 

  4. McCormick, J. J., & Anderson, R. B. (2009). The great toe: turf toe, chronic turf toe, and complicated sesamoid injuries. Foot and Ankle Clinics.,14, 135–150.

    Article  Google Scholar 

  5. Coughlin, M. J. (2003). Turf toe injuries to the hallux MTP joint. Orthopaedic Sports Medicine Principles and Practice (pp. 2483–2588). Philadelphia: WB Saunders.

    Google Scholar 

  6. Doty, J. F., & Coughlin, M. J. (2013). Turf toe repair: A technical note. Foot and Ankle Specialist.,6, 452–456. https://doi.org/10.1177/1938640013507107

    Article  PubMed  Google Scholar 

  7. McCormick, J. J., & Anderson, R. B. (2010). Turf toe: Anatomy, diagnosis, and treatment. Sports Health.,2, 487–494. https://doi.org/10.1177/1941738110386681.

    Article  PubMed  PubMed Central  Google Scholar 

  8. McCormick, J. J., & Anderson, R. B. (2010). Rehabilitation following turf toe injury and plantar plate repair. Clinics in Sports Medicine,29, 313–323.

    Article  Google Scholar 

  9. Biedert, R., & Hintermann, B. (2003). Stress fractures of the medial great toe sesamoids in athletes. Foot and Ankle International.,24, 137–141.

    Article  Google Scholar 

  10. Crain, J. M., Phancao, J. P., & Stidham, K. (2008). MR imaging of turf toe. Magnetic Resonance Imaging Clinics of North America.,16, 93–103.

    Article  Google Scholar 

  11. Anderson, R. B., Hunt, K. J., & McCormick, J. J. (2010). Management of common sports-related injuries about the foot and ankle. Journal of American Academy of Orthopaedic Surgeons,18, 546–556.

    Article  Google Scholar 

  12. Anderson, R. B. (2002). Turf toe injuries of the hallux metatarsophalangeal joint. Techniques in Foot and Ankle Surgery.,1, 102–111.

    Article  Google Scholar 

  13. Clanton, T. O., Butler, J. E., & Eggert, A. (1986). Injuries to the metatarsophalangeal joints in athletes. Foot and Ankle.,7, 162–176.

    Article  CAS  Google Scholar 

  14. Coker, T. P., Arnold, J. A., & Weber, D. L. (1978). Traumatic lesions of the metatarsophalangeal joint of the great toe in athletes. American Journal of Sports Medicine,6, 326–334.

    Article  CAS  Google Scholar 

  15. Tewes, D. P., Fischer, D. A., Fritts, H. M., & Guanche, C. A. (1994). MRI findings of acute turf toe: a case report and review of anatomy. Clinical Orthopaedics and Related Research,304, 200–203.

    Google Scholar 

  16. Prieskorn, D., Graves, S. C., & Smith, R. A. (1993). Morphometric analysis of the plantar plate apparatus of the first metatarsophalangeal joint. Foot and Ankle.,14, 204–207.

    Article  CAS  Google Scholar 

  17. Waldrop, N. E., Zirker, C. A., Wijdicks, C. A., Laprade, R. F., & Clanton, T. O. (1993). Radiographic evaluation of plantar plate injury: An in vitro biomechanical study. Foot & Ankle Int.,34, 403–408.

    Article  Google Scholar 

  18. Drakos, M. C., Fiore, R., Murphy, C., & DiGiovanni, C. W. (2015). Plantar-plate disruptions: the severe turf-toe injury three cases in contact athletes. Journal of Athletic Training.,50, 553–560.

    Article  Google Scholar 

  19. Van Hal, M. E., Keene, J. S., Lange, T. A., & Clancy, W. G., Jr. (1982). Stress fractures of the great toe sesamoids. American Journal of Sports Medicine,10, 122–128.

    Article  Google Scholar 

  20. Smith, K., & Waldrop, N. (2018). Operative outcomes of grade 3 turf toe injuries in competitive football players. Foot & Ankle Int.. https://doi.org/10.1177/1071100718775967.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL, 35205, USA

    Zachariah W. Pinter, Chason G. Farnell, Samuel Huntley, Harshadkumar A. Patel, Jianguang Peng, James McMurtrie, Jessyca L. Ray, Sameer Naranje & Ashish B. Shah

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  1. Zachariah W. Pinter
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  2. Chason G. Farnell
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  3. Samuel Huntley
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  4. Harshadkumar A. Patel
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  5. Jianguang Peng
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  6. James McMurtrie
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  7. Jessyca L. Ray
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  8. Sameer Naranje
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  9. Ashish B. Shah
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Correspondence to Ashish B. Shah.

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Pinter, Z.W., Farnell, C.G., Huntley, S. et al. Outcomes of Chronic Turf Toe Repair in Non-athlete Population: A Retrospective Study. JOIO 54, 43–48 (2020). https://doi.org/10.1007/s43465-019-00010-8

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  • DOI: https://doi.org/10.1007/s43465-019-00010-8

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