3-4 days free worldwide delivery

Athletic Injuries of the First Metatarsophalangeal Joint

by MASS4D® Prescription Orthotics January 18, 2017


The purpose of this article was to describe the different injuries that occur to the first metatarsophalangeal joint, also known as “turf toe”.

Two case studies were also presented to illustrate these injuries.

The soft-tissue construct provides joint reinforcement that allows the hallux to support 40% to 60% of bodyweight during walking, and significantly greater forces during running and jumping.

While examining an athletic injury to the first metatarsophalangeal joint, the following items should be considered: the history of the injury, range of motion, area of maximum tenderness, medial and lateral collateral ligaments, sesamoid apparatus, stability of the joint, and radiographic examination.

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

The first metatarsal carries twice the weight of any one lesser metatarsal, which is one-third the weight of the forefoot or one-sixth of the bodyweight.

Differential diagnoses for an injury to the first metatarsophalangeal joint include sprain or strain of the first metatarsophalangeal joint, osteochondral lesion, sesamoiditis, sesamoid fracture, dislocation, capsulitis, contusion and hallux limitus.

Initial treatment for turf-toe injuries should consist of protection, rest, ice, compression, elevation and support.

Non-steroidal anti-inflammatory drugs, turf-toe taping and stiff-soled shoes can be used during the weightbearing day to assist with mild injuries.

If the injury is minor, athletes may progress with gentle range-of-motion exercise and activities.

However, for more serious injuries, immobilization is required until the injury is stabilized.

If conservative measures fail, then surgical repair of the plantar capsule or removal of the loose body fragment is indicated.

Proper diagnosis is paramount for instituting appropriate treatment to facilitate an athlete’s prompt return to the playing field.

Copyright 2017 MASS4D® All rights reserved. 

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


  1. Eugene R. Kubitz (2003) Athletic Injuries of the First Metatarsophalangeal Joint. Journal of the American Podiatric Medical Association: July/August 2003, Vol. 93, No. 4, pp. 325-332

Leave a comment

Comments will be approved before showing up.

Also in Clinicians Blog

Foot and ankle history and clinical examination: A guide to everyday practice

by MASS4D® Prescription Orthotics August 12, 2018

This review summarises the keys points in taking a full history and performing a systematic clinical examination for patients with foot and ankle problem.

Read More

A comparison of running kinetics in children with and without genu varus: A cross sectional study

by MASS4D® Prescription Orthotics August 07, 2018

The aims of the present study were to examine differences in three dimensional ground reaction forces (GRF) during running at preferred speed in boys with genu varus compared to age-matched healthy controls.

Read More

Foot Structure in Boys with Down Syndrome

by MASS4D® Prescription Orthotics July 29, 2018

The aim of this study was the analysis of selected features of the foot structure in boys with Down Syndrome (DS) versus their age- and gender-matched peers without the condition.

Read More