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dc.contributor.authorVopat, Matthew L.
dc.contributor.authorHassan, Maaz
dc.contributor.authorPoppe, Tanner
dc.contributor.authorTarakemeh, Armin
dc.contributor.authorZackula, Rosey
dc.contributor.authorMulcahey, Mary K.
dc.contributor.authorMullen, Scott
dc.contributor.authorBurkholder, Rick
dc.contributor.authorSchroeppel, John Paul
dc.contributor.authorVopat, Bryan G.
dc.date.accessioned2020-09-21T15:09:23Z
dc.date.available2020-09-21T15:09:23Z
dc.date.issued2019-10-14
dc.identifier.citationVopat ML, Hassan M, Poppe T, et al. Return to Sport After Turf Toe Injuries: A Systematic Review and Meta-analysis. Orthopaedic Journal of Sports Medicine. October 2019.en_US
dc.identifier.urihttp://hdl.handle.net/1808/30754
dc.descriptionA grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.en_US
dc.description.abstractBackground: The prevalence of turf toe injuries has increased in recent years. However, uncertainty remains as to how to optimally treat turf toe injuries and the implications that the severity of the injury has on outcomes, specifically return to sport (RTS).

Purpose: To determine RTS based on treatment modality and to provide clinicians with additional information when comparing operative versus nonoperative treatment of turf toe injuries in athletes.

Study Design: Systematic review; Level of evidence, 4.

Methods: A systematic review and meta-analysis was performed using the PubMed/Ovid MEDLINE/PubMed Central databases (May 1964 to August 2018) per PRISMA-IPD (Preferred Reporting Items for Systematic Reviews and Meta-Analyses of Individual Participant Data) guidelines. RTS, treatment, severity of injury, athletic position, and sport were recorded and analyzed.

Results: Of 858 identified studies, 12 met the criteria for the final meta-analysis. The studies included 112 athletes sustaining a total of 121 turf toe injuries; 63 (52.1%) of these injuries were treated surgically, while 58 (47.9%) were treated nonoperatively, and 53.7% were classified by the grade of injury (grade I, n = 1; grade II, n = 9; grade III, n = 55). Overall, 56 (46.3%) injuries could not be classified based on the data provided and were excluded from the final analysis. The median time to RTS for patients treated nonoperatively was 5.85 weeks (range, 3.00-8.70 weeks) compared with 14.70 weeks (range, 6.00-156.43 weeks) for patients treated surgically (P < .001); however, there was variability in the grade of injury between the 2 groups. Similarly, patients who sustained grade II injuries returned to sport more quickly (8.70 weeks) than patients who had a grade I (13.04 weeks) or grade III injury (16.50 weeks) (P = .016). The amount of time required to RTS was significantly influenced by the athlete’s level of play (16.50 weeks for both high school and college levels; 14.70 weeks for professional level) (P = .018).

Conclusion: The time to RTS for an athlete who suffers from a turf toe injury is significantly influenced by the severity of injury and the athlete’s level of competition. Professional athletes who suffer from turf toe injuries RTS sooner than both high school and college athletes. However, there are a limited number of high-level studies evaluating turf toe injuries in the athletic population. Further research is necessary to clearly define the appropriate treatment and RTS protocols based on sport, position, and level of play.
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dc.publisherSAGE Publicationsen_US
dc.rights© The Author(s) 2019, SAGE Publications. This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.subjectTurf toeen_US
dc.subjectMetatarsophalangeal joint sprainen_US
dc.subjectReturn to sporten_US
dc.subjectSystematic reviewen_US
dc.subjectMeta-analysisen_US
dc.titleReturn to Sport After Turf Toe Injuries: A Systematic Review and Meta-analysisen_US
dc.typeArticleen_US
kusw.kuauthorVopat, Matthew L.
kusw.kuauthorHassan, Maaz
kusw.kuauthorPoppe, Tanner
kusw.kuauthorTarakemeh, Armin
kusw.kuauthorZackula, Rosey
kusw.kuauthorMullen, Scott
kusw.kuauthorSchroeppel, John Paul
kusw.kuauthorVopat, Bryan G.
dc.identifier.doi10.1177/2325967119875133en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.rights.accessrightsopenAccessen_US


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© The Author(s) 2019, SAGE Publications. This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.
Except where otherwise noted, this item's license is described as: © The Author(s) 2019, SAGE Publications. This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.