Document Detail


Case series of first metatarsophalangeal joint injuries in division 1 college athletes.
MedLine Citation:
PMID:  25364484     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Injuries of the first metatarsophalangeal (hallux MP) joint can be debilitating in the athletic population. Turf toe and plantar plate injuries are typically diagnosed similarly. However, variance in injury mechanism as well as compromised integrity of soft tissue and ligamentous structures make it difficult to accurately diagnose specific hallux MP injuries. Recent literature has supported the use of both radiographic imaging and the Lachman test as reliable indicators of joint instability in the presence of hallux MP injuries. To date, research supporting specific rehabilitation interventions and return-to-play decision making for hallux MP injuries has been limited to case studies and suggested guidelines from literature reviews. There is limited evidence suggesting specific criteria for surgical and nonsurgical decision making in conjunction with rehabilitation progressions to return an athlete to sport when managing hallux MP injuries.
EVIDENCE ACQUISITION: A literature search was performed using Medline, PubMed, and Google Scholar to find and review articles from 1970 to 2013 that addressed the basic anatomy of the plantar plate, injuries to this anatomical structure, and the evaluation, diagnosis, surgical and nonsurgical management, and rehabilitation of these injuries, specifically in the athletic population. Medical information for each case was gathered from electronic medical records from the individual athletes cited in this case series, which included imaging reports, rehabilitation documentation, and both evaluation and surgical reports. No statistical analysis was used.
STUDY DESIGN: Case series.
LEVEL OF EVIDENCE: Level 4.
RESULTS: Treatment plans for each case varied depending on surgical and nonsurgical intervention and rehabilitation outcomes. However, each athlete was able to return to sports-specific activities.
CONCLUSION: Successful outcomes for hallux MP injuries are contingent on thorough evaluation, appropriate clinical decision making with regard to surgical versus nonsurgical treatment planning, and a multidisciplinary team approach for ensuring a safe return to sport.
STRENGTH-OF-RECOMMENDATION TAXONOMY SORT: C.
Authors:
John Faltus; Kerry Mullenix; Claude T Moorman; Kyle Beatty; Mark E Easley
Related Documents :
12422944 - "mushroom madness" in the papua new guinea highlands: a case of nicotine poisoning?
15875894 - Hospital-based survey of pesticide poisoning in japan, 1998--2002.
15935444 - Acute poisoning with pesticides in the state of mato grosso do sul, brazil.
2927404 - Choreoathetosis induced by cyproheptadine.
10048604 - Epidermal naevus syndrome and hypophosphataemic rickets: description of a patient with ...
7736334 - Maxillary nerve block: a case report and review of the intraoral technique.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sports health     Volume:  6     ISSN:  1941-7381     ISO Abbreviation:  Sports Health     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-03     Completed Date:  2014-11-03     Revised Date:  2014-11-06    
Medline Journal Info:
Nlm Unique ID:  101518422     Medline TA:  Sports Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  519-26     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Revision anterior cruciate ligament reconstruction.
Next Document:  The treatment and outcomes of medial malleolar stress fractures: a systematic review of the literatu...