CASE

Ankle – Turf toe

CASE HISTORY

Right great toe pain. Pain developed following a football game.

TECHNICAL FACTORS

Long- and short-axis fat- and water-weighted images were performed. 

KEY IMAGES

This case has no key images.

CASE FINDINGS

  • No Lisfranc tear. No midfoot sprain. No fracture dislocation. 
  • Full thickness tear through the tibial sesamoid-phalangeal ligament. Diffuse swelling secondary to capsular ligament sprain is associated. Myoedema within a portion of the abductor hallucis muscle is compatible with strain or contusion. No sesamoid contusion or fracture. No proximal displacement or subluxation. 
  • No forefoot macrofracture or Freiberg infraction. 
  • Flexor and extensor tendon complexes are intact.

CASE CONCLUSION

  • Turf toe. Full thickness tear/delamination of tibial sesamoid-phalangeal ligament (plantar plate) from its sesamoid attachment associated with capsulitis and pericapsular swelling. No sesamoid migration. No fracture. 
  • Please see above. 
     

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