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Related Experiment Video

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Turf toe and sesamoiditis: what the radiologist needs to know.

Aaron J Schein1, Matthew R Skalski2, Dakshesh B Patel1

  • 1Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033-5313.

Clinical Imaging
|December 9, 2014
PubMed
Summary

The first metatarsophalangeal (MTP) joint is vital for weight-bearing and athletic performance. This review covers MTP joint injuries like turf toe, sesamoiditis, and other pathologies, including their diagnosis and treatment.

Keywords:
First metatarsophalangeal joint complexPlantar plateSesamoiditisTurf toe

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Area of Science:

  • Orthopedics and Sports Medicine
  • Biomechanics
  • Podiatry

Background:

  • The first metatarsophalangeal (MTP) joint complex is crucial for weight-bearing and athletic activities.
  • Injuries such as turf toe are prevalent in sports like football and soccer.
  • Pain in the hallux sesamoids, often termed sesamoiditis, can stem from various causes beyond acute trauma.

Purpose of the Study:

  • To provide a comprehensive review of the anatomy and biomechanics of the first MTP joint complex.
  • To discuss common injury patterns and pathologies affecting the first MTP joint.
  • To outline imaging techniques and management strategies for first MTP joint conditions.

Main Methods:

  • Literature review of anatomical, biomechanical, and clinical studies.
  • Analysis of injury mechanisms and patholophysiology.
  • Synthesis of current diagnostic and therapeutic approaches.

Main Results:

  • Detailed description of the first MTP joint's anatomical structures and biomechanical functions.
  • Classification of injuries including acute (turf toe) and chronic conditions (sesamoiditis).
  • Overview of differential diagnoses encompassing arthritis, infarct, and infection.

Conclusions:

  • Understanding the biomechanics of the first MTP joint is key to diagnosing and managing injuries.
  • A range of pathologies can affect the first MTP joint, requiring diverse diagnostic and management strategies.
  • This review serves as a resource for clinicians managing first MTP joint disorders.