Drakos Mark C, Fiore Russell, Murphy Conor, DiGiovanni Christopher W
Department of Orthopedics, Hospital for Special Surgery, New York, NY; Departments of.
J Athl Train. 2015 May;50(5):553-60. doi: 10.4085/1062-6050-49.6.05. Epub 2015 Feb 19.
To present 3 cases of plantar-plate rupture and turf-toe injury in contact athletes at 1 university and to discuss appropriate diagnosis and treatment algorithms for each case.
Turf toe is a common injury in athletes participating in outdoor cutting sports. However, it has been used as an umbrella term to describe many different injuries of the great toe. In some cases, the injury can be so severe that the plantar plate and sesamoid apparatus may be ruptured. These patients may be better managed with surgery than with traditional nonoperative interventions.
Turf toe, plantar-plate disruption, sesamoid fracture.
For stable injuries in which the plantar plate is not completely disrupted, nonoperative treatment with casting or a stiff-soled shoe, gradual weight bearing, and rehabilitation is the best practice. Unstable injuries require surgical intervention and plantar-plate repair.
Turf toe and injury to the first metatarsophalangeal joint are relatively common injuries in athletes, but few researchers have detailed the operative and nonoperative treatments of plantar-plate disruption in these patients. We examine 3 cases that occurred over 4 seasons on a collegiate football team.
Turf toe represents a wide array of pathologic conditions involving the first metatarsophalangeal joint. Stress and instability testing are key components to assess in determining whether surgical intervention is warranted to restore optimal function. Stiffer-soled shoes or shoes with steel-plate insertions may help to prevent these injuries and are useful tools for protection during the rehabilitation period.
介绍某大学接触性运动运动员中3例跖板破裂和草皮趾损伤的病例，并探讨针对每个病例的适当诊断和治疗方案。
草皮趾是参加户外切入运动的运动员的常见损伤。然而，它一直被用作一个统称来描述拇趾的许多不同损伤。在某些情况下，损伤可能非常严重，以至于跖板和籽骨装置可能破裂。这些患者采用手术治疗可能比传统的非手术干预效果更好。
草皮趾、跖板断裂、籽骨骨折。
对于跖板未完全断裂的稳定损伤，采用石膏固定或穿硬底鞋、逐渐负重和康复的非手术治疗是最佳做法。不稳定损伤需要手术干预和跖板修复。
草皮趾和第一跖趾关节损伤在运动员中相对常见，但很少有研究人员详细阐述这些患者跖板断裂的手术和非手术治疗方法。我们研究了一支大学橄榄球队在4个赛季中发生的3例病例。
草皮趾代表了一系列累及第一跖趾关节的病理状况。应力和稳定性测试是评估是否需要手术干预以恢复最佳功能的关键组成部分。硬底鞋或带有钢板插入物的鞋子可能有助于预防这些损伤，并且是康复期间有用的保护工具。
