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Turf toe — MRCEM SBA MCQ

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ModerateAnkle and FootTurf toeMRCEM SBA

A 22-year-old rugby player sustains forced hyperextension of the great toe at a ruck. Pain is centred at the first MTP joint and push-off is painful, with swelling over the plantar plate. What is the most likely diagnosis?

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Correct answer: A — Turf toe injury

Forced dorsiflexion of the first MTP joint with plantar pain suggests turf toe, a plantar plate injury. Push-off pain is a key functional feature. Severity depends on instability, sesamoid injury and ability to bear weight.

Reference: Brukner & Khan