`Turf toe`, originally described in literature by Bowers and Martin in 1976, is an injury of the capsuloligamentous complex of the first metatarsophalangeal joint. The frequency of turf toe among professional football players is estimated at 30–45%. It is caused by a hyperextension injury of the hallux metatarsophalangeal joint resulting in attenuation or tearing of the plantar capsular ligamentous complex. Turf toe injuries have been attributed to playing on hard, artificial surfaces with soft, flexible cleats. Treatment generally consists of nonoperative measures such as rest, ice, nonsteroidal anti-inflammatory drugs, taping, a stiff-sole shoe, walking boot, or casting. Nonoperative treatment is the preferred approach, even in some cases with associated fracture of the sesamoids. Operative intervention should be considered after nonoperative management has failed or in cases of clear instability or sesamoid retraction. Conservative treatment is sufficient in Grade I and Grade II injuries. However, very few cases (<2%) with Grade III injuries may require surgical treatment. Good functional outcomes with high rates of return to play can be expected with appropriate management of early recognition and treatment in acute phase.