1. 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

2. 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

3. 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

4. Anatomy of the Foot
Gray, Henry. Anatomy of the Human Body. Philadelphia: Lea & Febiger, 1918; Bartleby.com,

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

6. 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-S

7. 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 Box 25H-14

8. 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