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Does your toe hurt THAT much?

Author: Aaron Thomas, MD
Peer-reviewer: Brandon Godfrey, MD
Editor: Alex Tomesch, MD

A 22 year old football player limps to the sideline after catching a sideline pass requiring him to land forcefully on his toes to complete the catch in bounds.  Now he is complaining of pain at his right 1st MTP saying that he thinks his "toe popped out".  A point of care ultrasound of the MTP joint is shown:

 Figure 1. Image courtesy of Ultrasoundpaedia

 

References

[1] Ashimolowo T, Dunham G, Sharp JW, Porrino J. Turf toe: an update and comprehensive review. Radiologic clinics of north America. 2018; 56(6): 847-858. Doi:10.1016/j.rcl.2018.06.002

[2] Crain JM, Phancao J-P. Imaging of turf toe. Radiologic clinics of north America. 2016; 54(5): 969-978. Doi: 10.1016/j.rcl.2016.04.010

[3] Meyer NB, Jacobson JA, Kalia V, Kim SM. Musculoskeletal ultrasound: athletic injuries of the lower extremity. Ultrasonography (seoul, korea). 2018; 37(3): 175-189. Doi: 10.14366/usg.18013

[4] Seow D, Tengku Yusof TNB, Yasui Y, Shimozono Y, Kennedy JG. Treatment options for turf toe: a systematic review.  The journal of foot and ankle surgery: official publication of the American college of foot and ankle surgeons. 2020; 59(1): 112-116. Doi: 10.1053/j.jfas.2018.12.041