Description

The severity of a turf toe can be classified based on the clinical findings. This can help guide management of the athlete.


 

Patient selection: athlete with turf toe

 

Parameters:

(1) injury to plantar structures

(2) swelling

(3) ecchymosis

(4) joint

 

Parameters

Grade 1

Grade 2

Grade 3

injury to plantar structures

sprain

partial tear

complete tear, hallux flexion weakness

swelling

local

moderate

marked

ecchymosis

none to minimal

mild to moderate

significant

joint

minor

restricted motion due to pain

instability of hallux MTP joint

 

 

Grade

Management

1

symptomatic care, can return to play if tolerated

2

walking boot with or without crutches, rest for up to 2 weeks, may need taping

3

long-term immobilization or surgery, may need to recover up to 16 weeks, consider taping

 


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