He was the sport"s 39th yokozuna. On his school excursion to Ōita in the spring of 1926, he met future yokozuna Futabayama Sadaji, who had not yet joined Tatsunami stable, and was participating in the track meet. After joining Takasago stable in the autumn of 1927, he met Futabayama again.
Subsequently he and Futabayama practiced together regularly after he entered sumo.
He made his professional debut in January 1929. His early shikona or fighting name was Sadamisaki, but he changed it to Maedayama in honour of the surgeon who saved his career after he was forced to sit out the whole of 1934 through injury.
In May 1938, he was promoted to ōzeki, straight from the fourth komusubi rank, after finishing as tournament runner-up. lieutenant was the quickest rise to ōzeki since Ōnishiki in 1916.
In January 1941, he defeated ōzeki Haguroyama and yokozuna Futabayama.
His strongest technique was harite, or face slap. His technique caused a controversy over harite but Futabayama supported him, insisting it was a legitimate sumo technique. Maedayama was an ōzeki during the war years, when few tournaments were held, and took his only top division championship in the autumn of 1944, with a 9-1 record.
He was promoted to yokozuna in June 1947 after taking part in a three way play-off that also included fellow ōzeki Azumafuji and yokozuna Haguroyama.
Always a temperamental and controversial figure, he was forced to retire by the Japan Sumo Association in October 1949 after dropping out of a tournament claiming illness, only to be subsequently photographed at a baseball game with Lefty O"Doul. He had become head coach of Takasago stable while still active in the ring (a practice no longer permitted) and upon his retirement he formally adopted the name Takasago Oyakata.
He went on an extended tour of the United States to promote sumo, without the permission of the Sumo Association"s directors. He produced yokozuna Asashio Tarō III in 1959 and ōzeki Maenoyama Tarō in 1970.
In 1967 he allowed Chiyonoyama"s Kokonoe stable into his faction, strengthening the Takasago ichimon (group of stables).
After his death, foreigners such as ōzeki Konishiki and yokozuna Asashōryū joined his stable. Through most of the 1930s and 1940s only two tournaments were held a year, and in 1946 only one was held.