CME OnDemand: New Advances in Sports and Forefoot/MIS - What's New and What's Next?-Update on Turf Toe and Plantar Plate Pathology

Update on Turf Toe and Plantar Plate Pathology - M. Truitt Cooper, MD

Video Transcription

Video Summary

In this video, Truett Cooper from the University of Virginia gives a talk on turf toe and plantar plate pathology. He explains that turf toe is a traumatic injury to the first MTP joint, typically caused by hyperextension. Cooper discusses the different injury patterns and severity grades for turf toe, as well as the evaluation methods, including clinical exams, standing radiographs, and MRIs. Surgical indications for turf toe include an unstable joint, sesamoid retraction, or complete rupture of the plantar structures. However, he notes that there is a lack of high-level evidence for the best treatment practices for these injuries. Cooper then shifts to discussing plantar plate pathology of the lesser toes, which is most commonly a degenerative condition. He explains the different treatment options and recent advances in direct repair of the plantar plate. Cooper highlights the importance of addressing other pathologies, such as clawing or collateral ligament disruptions. He mentions recent outcome studies that show positive results for direct repairs, especially when combined with metatarsal osteotomies. Cooper concludes by noting that there is limited evidence and encourages viewers to explore additional resources provided in the module.

Keywords

turf toe

plantar plate pathology

injury patterns

treatment options

direct repair

limited evidence