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Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
GOMEZ-CARLIN, LA et al. Traumatic Turf-Toe: challenging diagnosis and controversial treatment. Acta ortop. mex [online]. 2020, vol.34, n.5, pp.319-323. Epub 21-Feb-2022. ISSN 2306-4102.
Introduction:
Turf-Toe includes a wide variety of traumatic injuries of the metatarsophalangeal joint of the first toe (MTF1). It is a potentially severe injury and there is no consensus for surgical management. The objective of this case report was to describe a patient with traumatic Turf-Toe injury grade III with a sesamoid fracture treated surgically.
Clinical case:
24-year-old male with motorcycle fall with hyperflexion of the MTF1 joint, presented pain, edema and functional limitation; the radiographs showed soft tissue edema, lateral displacement of lateral sesamoid with fracture. Traumatic Turf-Toe was established. The ultrasound of the MTF1 joint showed breakage of the plantar plate and collateral ligaments. Patient was surgically managed with sesamoid reduction and plantar plate repair; postoperative evolution was satisfactory. At 8 weeks the patient was assessed with the AOFAS forefoot scale, obtaining 82 points, SF-12 with 87% and VAS of two and returned to his daily activities.
Conclusion:
We describe a patient with traumatic Turf Toe grade III injury, not related to sports practice; first report in the literature of the use of ultrasound in the evaluation of patients with lesion of the metatarso-phalangic joint of the first toe.
Palabras llave : Metatarsophalangeal; post-traumatic; plantar plate; sesamoid bone.