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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Related Experiment Video

Updated: May 8, 2026

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Return to Sport and Radiographic Postoperative Outcomes After Grade 3 Turf Toe Surgical Repair.

David Cho1, Saanchi Kukadia1, Brian Josephson1

  • 1Hospital for Special Surgery, New York, New York, USA.

The American Journal of Sports Medicine
|June 6, 2025
PubMed
Summary

Surgical repair of grade 3 turf toe injuries significantly improves athletic function and reduces pain. Most athletes return to preinjury competition levels within 5 months after plantar plate repair.

Keywords:
clinical outcomesfirst metatarsophalangeal jointreturn to sportturf toe

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Area of Science:

  • Orthopaedic surgery
  • Sports medicine
  • Foot and ankle surgery

Background:

  • Turf toe, a plantar plate injury of the first metatarsophalangeal joint, is common in athletes but lacks treatment consensus.
  • Current literature has limited evidence-based guidelines for turf toe treatment and surgical outcomes.

Purpose of the Study:

  • To evaluate postoperative clinical outcomes and return-to-sport rates in athletes with acute and chronic grade 3 turf toe injuries.
  • To test the hypothesis that surgical repair leads to significant clinical improvement and rapid return to sport.

Main Methods:

  • Retrospective case series (Level of evidence, 4) of 28 athletes undergoing plantar plate repair for turf toe.
  • Patient-reported outcomes (PROMIS scores) and return-to-sport data were collected preoperatively and postoperatively (≥1 year).
  • Radiographic analysis measured sesamoid diastasis before and after surgery.

Main Results:

  • Significant improvements were noted in PROMIS scores for Physical Function, Pain Interference, Pain Intensity, and Global Physical Health.
  • Ninety-one percent of athletes returned to preinjury competition levels, with a mean return-to-sport time of 20.4 weeks.
  • Significant improvement in sesamoid diastasis was observed; outcomes did not differ between acute and chronic injuries.

Conclusions:

  • Plantar plate repair for grade 3 turf toe results in significant improvements in patient-reported outcomes.
  • Athletes experience a high rate of return to sport after surgical intervention for turf toe injuries.