Call us Toll-Free:   1-888-859-8901
You have no items in your shopping cart.
Filters
Search
Close
reference presentation true The Myfootshop.com Foot and Ankle Knowledgebase Myfootshop.com, L.L.C. Myfootshop.com, L.L.C. Myfootshop.com, L.L.C. 2000 http://www.myfootshop.com/about http://creativecommons.org/licenses/by-nc/3.0/deed.en_US en-US Turf Toe | Causes and treatment options turf toe,injury of the big toe joint,information for patients with turf toe,turf toe plate,turf toe brace,turf toe strap,turf toe treatment,pictures of turf toe,how do you treat turf toe,turf toe recovery,turf toe taping,sore big toe,big toe bent under,big toe pain,turf toe recovery,turf toe symptoms,hyperextended toe,what is turf toe,how can you tell if you have turf toe,how do you treat turf toe Learn about the symptoms and treatment recommendations for turf toe - part of the Myfootshop.com Foot and Ankle Knowledge Base. https://www.myfootshop.com/images/thumbs/0001502_turf-toe_200.jpeg https://www.myfootshop.com/images/thumbs/0001502_turf-toe_200.jpeg

Turf Toe

  • Summary
  • Symptoms
  • Read More

Summary

Turf toe is a hyper-extension or impaction injury of the great toe joint that injures the joint cartilage and soft tissue structures supporting the great toe joint. Turf toe is most often described as a sports-related injury but can also be caused by industrial or motor vehicle injuries. Turf toe is found more in men than in women. Men between the ages of 20-50 years of age are most susceptible to turf toe.

Symptoms

  • Acute onset of pain at the time of injury

  • Bruising and swelling are common

  • Stiffness of the great toe that continues for weeks post injury

  • Difficulty walking due to limited range of motion of the great toe

Description

Turf toe is a hyper-extension injury of the great toe. Hyper-extension damages the envelope of soft tissue structures surrounding the joint. One or more of the following structures may be injured:

  • The plantar plate
  • The inter-sesamoidal ligament (glenoid ligament)
  • The plantar capsule
  • The flexor hallucis brevis tendon proximal or distal to the sesamoid

Causes and contributing factors

Contributing factors include the use of weak shank shoes or wearing shoes not designed for the activity in which the injury takes place.

Differential diagnosis

The differential diagnosis for turf toe includes:

Treatment

Diagnosis of turf toe begins with a history of the injury and physical exam.  X-rays are used to evaluate the integrity of the 1st metatarsal, the base of the great toe, sesamoid bones, and surrounding soft tissue structures. The diagnosis of turf toe requires a high sense of clinical suspicion based upon the location of the symptoms and description of the injury. MRI is an effective tool in determining the extent of injury to the soft tissue structures surrounding the joint.

Conservative treatment of turf toe includes rest, ice, and use of anti-inflammatory medications. The use of a walking cast is common for 4-6 weeks following the injury. The walking cast will provide a flat, rocker surface that limits the range of motion of the great toe, enabling undisturbed healing. In severe cases, non-weight bearing casting may be used. A turf toe strap or turf toe plate is used for long-term management of the injury to limit the range of motion of the joint.

Surgical correction of turf toe is focused on repair of traumatic defects of the soft tissue envelope surrounding the joint. Surgical correction is usually followed by a period of casting and non-weight bearing along with physical therapy. The success of surgical correction of turf toe injuries depends in a great part upon the severity of the injury.

When to contact your doctor

Suspected turf toe injuries should be evaluated by your podiatrist or orthopedist.

ICDM Codes - Turf toe

(S93.521A) Sprain of metatarsophalangeal joint of right great toe, initial encounter
(S93.521D) Sprain of metatarsophalangeal joint of right great toe, subsequent encounter
(S93.521S) Sprain of metatarsophalangeal joint of right great toe, sequela
(S93.522A) Sprain of metatarsophalangeal joint of left great toe, initial encounter
(S93.522D) Sprain of metatarsophalangeal joint of left great toe, subsequent encounter
(S93.522S) Sprain of metatarsophalangeal joint of left great toe, sequela
(S93.523A) Sprain of metatarsophalangeal joint of unspecified great toe, initial encounter
(S93.523D) Sprain of metatarsophalangeal joint of unspecified great toe, subsequent encounter
(S93.523S) Sprain of metatarsophalangeal joint of unspecified great toe, sequela
(S93.529A) Sprain of metatarsophalangeal joint of unspecified toe(s), initial encounter
(S93.529D) Sprain of metatarsophalangeal joint of unspecified toe(s), subsequent encounter
(S93.529S) Sprain of metatarsophalangeal joint of unspecified toe(s), sequela
 
The International Classification of Diseases, Tenth Revision (ICD-10) was developed and is maintained by the World Health Organization (WHO). The U.S. National Center for Health Statistics (NCHS) is the WHO Collaborating Center for the Family of International Classifications in North America, and is the U.S. governmental agency responsible for overseeing ICD use in the U.S.
 

CPT Codes - Turf toe

** there is no CPT code for plantar plate repair

28285 (hammertoe correction, e.g., interphalangeal fusion, partial or total phalangectomy)

29405 (lower extremity application of cast)

L2360 turf toe plate

Current Procedural Terminology (CPT®) is a product of the American Medical Association (AMA.)

References

1. Jeremy J. McCormick, MD*† and Robert B. Anderson, MD. Turf Toe - Anatomy, diagnosis, and Treatment.  Sports Health. 2010 Nov; 2(6): 487–494.

2. Frimenko RE1, Lievers W, Coughlin MJ, Anderson RB, Crandall JR, Kent RW.  Etiology and biomechanics of first metatarsophalangeal joint sprains (turf toe) in athletes.  Crit Rev Biomed Eng. 2012;40(1):43-61.

Author(s) and date

Dr. Jeffrey OsterThis article was written by Myfootshop.com medical director, Jeffrey A. Oster, DPM.  

Cite this article as: Oster, Jeffrey. Turf Toe.  http://www.myfootshop.com/article/turf-toe

Most recent article update: November 19, 2018.
 

Creative Commons License  Turf Toe by Myfootshop.com is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License.

Internal reference only:   ZoneL11, ZoneM9