A Case of Simultaneous Traumatic Dorsal Dislocation of All Five Metatarsophalangeal Joints Treated Successfully With Closed Reduction

Bhide, Pushkar P.; Anantharaman, C; Mohan, G; Raju, Karuppanna

doi:10.1053/j.jfas.2015.02.014

Cited by 6 publications

(11 citation statements)

References 8 publications

(7 reference statements)

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“…There is limited literature discussing how to handle a traumatically dislocated MTP joint. The most common MTP joint dislocation described is of the first MTP joint, with few reported cases of dislocated lesser MTP joints [1,5,8]. The mechanics of this injury are usually due to an impact to the base of the MTP joint causing hyperextension and dorsal dislocation [1,3,5].…”

Section: Discussionmentioning

confidence: 99%

“…The most common MTP joint dislocation described is of the first MTP joint, with few reported cases of dislocated lesser MTP joints [1,5,8]. The mechanics of this injury are usually due to an impact to the base of the MTP joint causing hyperextension and dorsal dislocation [1,3,5]. High energy impact with the ground or impact of the foot during a motor vehicle accident are commonly described causes [3,5].…”

Section: Discussionmentioning

confidence: 99%

“…High energy impact with the ground or impact of the foot during a motor vehicle accident are commonly described causes [3,5]. These dislocations typically occur in the dorsal direction due to weaker connective tissue, in the dorsal aspect of the MTP [1]. In addition, MTP reduction with tape, however this was unsuccessful.…”

Section: Discussionmentioning

confidence: 99%

“…MTP: Metatarsophalangeal; BMI: Body Mass Index; MRI: Magnetic Resonance Imaging; VAS: Visual Analog Scale impact directed at the base of the joint [1]. This typically occurs when the toes are extended and the ankle is slightly plantar flexed [1,2]. This force causes a dorsal dislocation of the MTP joint, which is far more common than plantar dislocation [1,3,4].…”

Section: Abbreviationsmentioning

confidence: 99%

“…This typically occurs when the toes are extended and the ankle is slightly plantar flexed [1,2]. This force causes a dorsal dislocation of the MTP joint, which is far more common than plantar dislocation [1,3,4]. This dislocation is best treated by closed reduction, which is typically stable once reduced.…”

Section: Abbreviationsmentioning

confidence: 99%

See 4 more Smart Citations

Surgical Repair of an Unstable Third Metatarsophalangeal Joint Dislocation via Direct Plantar Plate Repair: A Simple and Effective Technique

W¹,

Kinter²,

Hodgkins³

2019

Int J Foot Ankle

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Traumatic dislocation of a lesser metatarsophalangeal (MTP) joint is a rare case for a foot and ankle surgeon to encounter. These dislocations can be difficult to reduce due to the surrounding connective tissues that may be interposed in the joint space. These include the plantar plate, deep transverse metatarsal ligament, flexor tendons, and lumbricals. When the clinician is unable to reduce the phalanx, surgery is required to prevent sequelae such as further swelling, ecchymosis, joint damage, and impingement of the neurovascular bundle. In this case report, we present the case of a 53-year-old female who suffered a traumatic dislocation after a low-energy trip and fall injury. The MTP joint was found to be unstable, and therefore, we managed the dislocation through open reduction and direct repair of the plantar plate via a plantar approach. We feel the plantar plate repair makes our case unique as well as superior because it allows better visualization and obviates the need for further fixation with a K-wire.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Abbreviationsmentioning

confidence: 99%

Section: Abbreviationsmentioning

confidence: 99%

See 3 more Smart Citations

Surgical Repair of an Unstable Third Metatarsophalangeal Joint Dislocation via Direct Plantar Plate Repair: A Simple and Effective Technique

W¹,

Kinter²,

Hodgkins³

2019

Int J Foot Ankle

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Metatarsus

Jones¹,

Kroin²,

Schiff³

2020

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Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months

Sandoval

Serna

Vargas

et al. 2022

Foot & Ankle Surgery: Techniques, Reports & Cases

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The authors report a rare case of simultaneous dorsal dislocation of all five metatarsophalangeal joints of the right foot after a motorcycle accident. The first MTP joint dislocation was an open injury. A formal debridement was performed under spinal anesthesia. After applying the reduction maneuver to all lesser metatarsophalangeal joints simultaneously, a satisfactory and stable reduction was obtained, fixation with Kirshner wires was not necessary, the leg was immobilized in a short plaster splint, and a full-thickness skin graft was performed five days later. The soft tissues healed adequately, and after three months, the patient had returned to his pre-injury activities. At 36 months follow-up evaluation, the patient had a full painless range of motion and no radiographic evidence of arthrosis.

show abstract

A Case of Simultaneous Traumatic Dorsal Dislocation of All Five Metatarsophalangeal Joints Treated Successfully With Closed Reduction

Cited by 6 publications

References 8 publications

Surgical Repair of an Unstable Third Metatarsophalangeal Joint Dislocation via Direct Plantar Plate Repair: A Simple and Effective Technique

Surgical Repair of an Unstable Third Metatarsophalangeal Joint Dislocation via Direct Plantar Plate Repair: A Simple and Effective Technique

Metatarsus

Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months

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