26-year-old male athlete - Unable to push off with foot due to pain

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

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

  • 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.
  • 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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