Turf Toe and Sesamoiditis

Two of the more common sporting injuries involving the forefoot are acute capsuloligamentous injuries at the metatarsophalangeal (MTP) joint and overload injuries of the sesamoid complex. These terms are referred to as turf toe and sesamoiditis, respectively, neither of which is descriptive or specific for the underlying cause of the patient's pain. Turf toe injuries can range from mild sprains to complete disruptions of the plantar capsule, requiring a careful understanding of each patient's injury to facilitate a timely return to sport. Sesamoiditis in the athlete is commonly secondary to a stress fracture, osteonecrosis, or chondromalacia, and warrants nonoperative care prior to a surgical intervention. In the following section, we will review the pertinent anatomy, common presentations, and recommendations for treating these injuries.