A rare case of recurrent medial dislocation of the 1st metatarsophalangeal joint in a professional athlete

Shah, Rajiv; DeNiese, Pascal; Bhatia, Deepak N.

doi:10.1016/j.foot.2021.101785

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2024

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“…The first MTP joint dorsal dislocation, originally classified by Jahss et al 3 , has since seen expanded classifications [10][11][12][13] . Zrig et al 14 suggested a new classification to cover all the varieties of MTP joint dislocation: dorsal (Type IA, IB, and IC), lateral and medial (Type IIA, IIB, and IIC), and plantar (Type III).…”

Section: Discussionmentioning

confidence: 99%

First Metatarsal Headphones-Like Lesion

Mazzotti,

Cassanelli,

Artioli

et al. 2024

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Case: A 34-year-old woman sustained a direct trauma to the left hallux during a fall. Radiographs showed a dorsal dislocation of the first metatarsophalangeal joint and a wide separation of sesamoid complex. Closed reduction was tried: postreduction radiographs displayed reduction of first metatarsophalangeal joint and a complete sesamoid complex dislocation. The patient was scheduled for surgery. Through a medial approach, open reduction together with plantar structures release and repair were performed. Functional and radiographic outcomes were satisfactory at the last follow-up. Conclusion: In case of a “headphones-like lesion” surgery is required, together with plantar structures repair.

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