Daniel Desautels, David Mosko, Jacob Riley

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Presentation transcript:

Daniel Desautels, David Mosko, Jacob Riley Turf Toe Injuries and Artificial Surfaces: The Future of Your Fantasy Football League Daniel Desautels, David Mosko, Jacob Riley

Where are We Going Today? What Is Turf Toe and Why Do We Care? How is Turf Toe Caused and How is It Currently Treated? New Ideas Regarding Treatment and Prevention of Turf Toe

Why is Turf Toe Important? Artificial Surfaces are Becoming More Common Professional sports fields Collegiate sports fields High school sports fields Public parks being converted Economic Costs to NFL, NCAA Potential for long-term injury You can suddenly lose your fantasy football league

Anatomy of the Foot Gray, Henry. Anatomy of the Human Body. Philadelphia: Lea & Febiger, 1918; Bartleby.com, 2000. www.bartleby.com/107/

Normal Range of Motion DeLee and Drez’s Orthopaedic Sports Medicine: Principles and Practice, 3rd Ed., Elsevier 2009. Figure 25H-24

Typical Injury Injury to the 1st (great) toe Injury to the 1st metatarsophalangeal (MTP) joint Forced hyper-dorsiflexion of 1st MTP joint Sprain/strain of ligamentous structures Partial or full tear in more serious cases Hockenbury, R.T. “Forefoot Problems in Athletes.” Med. & Sci. in Sp. & Ex. Vol. 31 Issue 7 Supplement. S448-S458. 1999.

Typical Symptoms Physical Examination • 1st MTP joint swelling • Bruising adjacent to the area of capsular injury • Plantar tenderness at the MTP joint • Pain with passive MTP joint dorsiflexion • Pain with joint loading • Decreased dorsiflexion of the MTP joint Radiographic Examination • Soft tissue swelling • Small periarticular bony avulsions • Intra-articular loose bodies • Dislocation of bipartite sesamoid • Sesamoid fracture • Migration of sesamoids DeLee and Drez’s Orthopaedic Sports Medicine: Principles and Practice, 3rd Ed., Elsevier 2009. Box 25H-14

Mechanism of Injury Blow to back of leg/heel while foot is flexed This injury basically never existed until the creation of artificial playing surfaces