Gómez-Carlín L A, Yáñez-Solís G K, Patiño-Fernández J P, Ramírez-Gómez V J, Valdez-Cueva V, Ortega-Orozco R
Clínica de Pie y Tobillo. Medyarthros Medicina Deportiva y Artroscopía.. México.
Centro Universitario de Ciencias de la Salud. Universidad de Guadalajara. Guadalajara, Jalisco, México.
Acta Ortop Mex. 2020 Sep-Oct;34(5):319-323.
Turf-Toe includes a wide variety of traumatic injuries of the metatarsophalangeal joint of the first toe (MTF1). It is a potentially severe injury and there is no consensus for surgical management. The objective of this case report was to describe a patient with traumatic Turf-Toe injury grade III with a sesamoid fracture treated surgically.
24-year-old male with motorcycle fall with hyperflexion of the MTF1 joint, presented pain, edema and functional limitation; the radiographs showed soft tissue edema, lateral displacement of lateral sesamoid with fracture. Traumatic Turf-Toe was established. The ultrasound of the MTF1 joint showed breakage of the plantar plate and collateral ligaments. Patient was surgically managed with sesamoid reduction and plantar plate repair; postoperative evolution was satisfactory. At 8 weeks the patient was assessed with the AOFAS forefoot scale, obtaining 82 points, SF-12 with 87% and VAS of two and returned to his daily activities.
We describe a patient with traumatic Turf Toe grade III injury, not related to sports practice; first report in the literature of the use of ultrasound in the evaluation of patients with lesion of the metatarso-phalangic joint of the first toe.
拇趾跖趾关节（MTF1）的草皮趾包括多种创伤性损伤。它是一种潜在的严重损伤，手术治疗尚无共识。本病例报告的目的是描述一名患有III级创伤性草皮趾损伤并伴有籽骨骨折的患者接受手术治疗的情况。
一名24岁男性因骑摩托车摔倒致MTF1关节过度屈曲，出现疼痛、肿胀和功能受限；X线片显示软组织肿胀，外侧籽骨向外侧移位伴骨折。确诊为创伤性草皮趾。MTF1关节超声显示跖板和侧副韧带断裂。患者接受了籽骨复位和跖板修复手术；术后恢复情况良好。8周时对患者进行美国足踝外科协会（AOFAS）前足评分，得82分，简短健康调查问卷（SF-12）得分为87%，视觉模拟评分（VAS）为2分，患者恢复日常活动。
我们描述了一名患有III级创伤性草皮趾损伤的患者，该损伤与运动实践无关；本文首次报道了超声在评估第一跖趾关节损伤患者中的应用。
