Injury to the metatarsophalangeal (MP) joint of the great toe, often termed "turf-toe", is a common occurrence in football. We have identified four cases of first MP plantar capsular injury with diastasis of a bipartite sesamoid. In three cases, observation and protection resulted in progressive widening of the fragments associated with pain and disability. These players required resection of the distal sesamoid fragment and repair of the volar capsule. The fourth player underwent acute repair of the medial retinaculum and capsule. All players have had a full return to sports activity. Diastasis of components of a partite sesamoid provides objective evidence of disruption of the plantar capsular mechanism. Early recognition of this condition confirmed by stress radiographs is recommended. Treatment may include early protection followed by resection, if painful, or acute repair of the retinaculum. Previous descriptions of turf-toe have not included injuries to the sesamoid complex of the first MP joint. In our opinion, the term turf-toe should represent the consequences of a hyperextension injury to the first MP joint in which the volar capsule has been disrupted proximal to the sesamoid. A classification for first MP joint injuries is presented.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/107110079301400801 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Open Reduction and Screw Fixation of a Diastatic Bipartite Hallux Sesamoid in Turf Toe Injury: A Case Report.
Foot Ankle Spec
October 2022
Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria (MM, KG, JR).
We present a case of a 25-year-old male professional soccer player who complained of severe pain over the first metatarsal head after opponent contact during a soccer game. Clinical findings showed swelling and tenderness. Initial radiographs showed a diastasis of a bipartite medial sesamoid between the fragments as compared to radiographs taken 4 years earlier of the same foot.
View Article and Find Full Text PDFBipartite medial cuneiform: magnetic resonance imaging findings and prevalence of this rare anatomical variant.
Skeletal Radiol
May 2020
Department of Radiology, Faculty of Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Objective: To describe the imaging features of bipartite medial cuneiform and to determine the prevalence of this rare anatomical variant in a large group of patients that were evaluated by magnetic resonance imaging (MRI) of the foot.
Materials And Method: Seven hundred and fifty-one patients that underwent MRI of the foot from May 2016 to December 2018 were included in the study (mean age 49 years; 540 females; 211 males). All MRIs were retrospectively analyzed to identify bipartite medial cuneiform.
[Traumatic separation of a type I patella bipartite in a sportsman].
Ugeskr Laeger
May 2014
Ortopædkirurgisk Afdeling, -Hvidovre Hospital, Kettegård Alle 30, 2650 Hvidovre.
This is a case report of a 44-year-old sportsman who experi-enced acute onset of strong pain and loss of ability to extend his right knee during a game of beach volley. X-ray imaging showed a patella in two parts with rounded edges and with a diastasis of more than 2 cm. Intra-operatively atrophic fibrocartilage was found on both parts of the patella.
View Article and Find Full Text PDFSports injury to a bipartite medial cuneiform in a child.
J Foot Ankle Surg
June 2014
Consultant Trauma and Orthopaedic Surgeon, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK. Electronic address:
We report the case of an 11-year-old boy who had sustained a soccer injury to his mid-foot. Plain radiography did not reveal any fracture to account for the severity of his symptoms or his inability to bear weight. Magnetic resonance imaging was undertaken and demonstrated the medial cuneiform to be a bipartite bone consisting of 2 ossicles connected by a synchondrosis.
View Article and Find Full Text PDFInjury of a bipartite patella in a young upcoming sportsman.
Arch Orthop Trauma Surg
January 2011
Praxis for Trauma and Hand Surgery, 1060 Vienna, Austria.
The aim of this study was to report the clinical features of a young athletic patient with bipartite patella, and review the literature to discuss the entity of this rare anomaly. In the course of an athletics competition, a 12-year-old top sportsman felt an intense pain around his left knee-cap while taking off from a jumping-board and broke down the competition. X-rays and magnetic resonance imaging showed an isolated distal pole of the patella with just minor diastasis; however, the X-rays did not suggest a recent fracture but rather hint at an atypically injured bipartite patella.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!