J Korean Foot Ankle Soc.  2015 Sep;19(3):128-131. 10.14193/jkfas.2015.19.3.128.

Overuse Capsuloligamentous Injury of the First Metatarsophalangeal Joint: A Case Report

  • 1Athletic Training Laboratory, Department of Sports Medicine, College of Physical Education, Kyung Hee University, Yongin, Korea. jihong.park@khu.ac.kr
  • 2Department of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, NE, USA.


Capsuloligamentous injury at the first metatarsophalangeal (MTP) joint is a common traumatic injury during physical activity, particularly on artificial turf. Mechanism of injury include excessive flexion, extension, or valgus stress. We report a non-operatively treated capsuloligamentous injury at the first MTP joint, which did not occur traumatically but developed by a stress-related mechanism in a collegiate rower.


First metatarsophalangeal joint; Turf toe; Overuse injury; Rower

MeSH Terms

Cumulative Trauma Disorders
Metatarsophalangeal Joint*
Motor Activity


  • Figure 1. The anteroposterior radiograph of the left foot revealed no abnormality at the first metatarsophalangeal joint.



1. Kubitz ER. Athletic injuries of the first metatarsophalangeal joint. J Am Podiatr Med Assoc. 2003; 93:325–32.
2. Allen LR, Flemming D, Sanders TG. Turf toe: ligamentous injury of the first metatarsophalangeal joint. Mil Med. 2004; 169:xix–xxiv.
3. Bowers KD Jr, Martin RB. Turf-toe: a shoe-surface related football injury. Med Sci Sports. 1976; 8:81–3.
4. Faltus J, Mullenix K, Moorman CT 3rd, Beatty K, Easley ME. Case series of first metatarsophalangeal joint injuries in division. college athletes. Sports Health. 2014; 6:519–26.
5. Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. Phys Ther. 1999; 79:371–83.
6. Roche AJ, Calder JD. An atraumatic turf toe in an elite soccer player–a stress related phenomenon? Foot Ankle Surg. 2014; 20:71–3.
7. Hosea TM, Hannafin JA. Rowing injuries1 Sports Health. 2012; 4:236–45.
8. Buckeridge E, Hislop S, Bull A, McGregor A. Kinematic asymmetries of the lower limbs during ergometer rowing. Med Sci Sports Exerc. 2012; 44:2147–53.
9. Brantingham JW, Chang MN, Gendreau DF, Price JL. The effect of chiropractic adjusting, exercises and modalities on a 32-year-old professional male golfer with hallux rigidus. Clin Chiropr. 2007; 10:91–6.
10. Fabeck LG, Zekhnini C, Farrokh D, Descamps PY, Delincé PE. Traumatic hallux valgus following rupture of the medial collateral ligament of the first metatarsophalangeal joint: a case report. J Foot Ankle Surg. 2002; 41:125–8.
Full Text Links
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr