A variant neglected Type IIIA dorsal dislocation of first metatarsophalangeal joint. A case report

Neglected dorsolateral dislocation of the first metatarsophalangeal joint: A case report

“…In this case report, we are carrying out what seems to belong to a neglected Type IIIA [8,17]. In our patient, the tibial sesamoid was proximally dislocated in particular, and both the tibial and the ally along with flexor tendon.…”

“…Throughout the existing literature, traumatic dislocation of the first MTP joint is rare and very much unlikely [3][4][5][6][7][8]. Almost invariably dorsal [11], even though plantar [12], atypical medial [13] and lateral [14] dislocations have been reported in the literature.…”

“…Only few case reports have described the injury, and the ideal treatment along with the long-term result of the injury has yet to be further studied because reports are rare in this regard [3][4][5][6][7]. Although few studies are available so far, only one report described a previous case of what is known as a "neglected" MTP joint dislocation accompanied with rupture of the intersesamoidal ligament [8].…”

Luxación inveterada de la primera metatarsofalángica

“…El caso presentado por Ibarguen y Moreno, 6 con una clínica subaguda manejada con reducción abierta sin fi jación, es lo más cercano reportado en la literatura donde manifi estan resultados satisfactorios en controles postoperatorios. En nuestro caso, la evaluación de la funcionalidad al año posterior de la cirugía se realizó por medio de la escala AOFAS modifi cada para articulación MTP del hallux con la que se aprecia el restablecimiento con funcionalidad completa y la ausencia de dolor, sin requerir adecuaciones ni modifi cacio- nes en su calzado, con limitación en la dorsifl exión y plantifl exión de la articulación intervenida, lo esperado por la artrodesis realizada y dorsifl exión de la interfalángica conservada.…”

Concomitant old complex fracture–dislocation of the first metatarsophalangeal, Lisfranc, and naviculocuneiform joints

“…He suffered from dislocated first MTP joint with complete disruption of the plantar plate from the proximal phalanx. 13 Although there are several classifications for first MTP joint dislocation, 4 no one has described any cases of fracture–dislocation either acute or missed one. It may be suggested to classify fracture–dislocations as a new subtype.…”