Case: Acute medial collateral ligament (MCL) tears of the great toe metatarsophalangeal joint are rare, leading to sparse literature regarding their management. Suture anchor repair with suture tape augmentation is an effective treatment of thumb ulnar collateral ligament tears, a close analog. This case report presents a 23-year-old professional surfer with an acute hallux MCL avulsion. Management included repair with suture anchor and suture tape augmentation. The patient returned to sport quickly and had no pain or complications at 1-year follow-up.
Conclusion: In this case of acute MCL tear of the great toe, suture anchor repair with suture tape augmentation facilitated early mobilization, rapid rehabilitation, return to competitive sport, and sustained good outcome.
Level of evidence: Level V.
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