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

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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.

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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