Incarcerated Plantar Dislocation of the First Metatarsophalangeal Joint: Reduction Using Intra-articular Saline Injection

Bohl, Daniel D.; Hamid, Kamran S.; Walton, David M.

doi:10.1177/1938640018766678

Cited by 3 publications

(2 citation statements)

References 10 publications

(36 reference statements)

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“…The treatment approach for plantar dislocation of the hallux is similar to dorsal dislocations and may involve closed reduction or surgical intervention, depending on the severity of the dislocation and the stability of the joint. It is important also to mention a unique and effective reduction technique for plantar dislocation of the hallux described by Bohl et al [ 12 ]. The authors performed an intra-articular injection of sterile saline into the MTP joint through a 20-gauge needle dorsally.…”

Section: Discussionmentioning

confidence: 99%

Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review

Bassil,

Nader,

Lajmi

et al. 2023

Cureus

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Dorsal dislocation of the toes is an infrequent injury that can result in severe pain and deformity. Timely diagnosis and appropriate management are paramount for optimizing patient outcomes. This case report illustrates a 53-year-old male patient who suffered dorsal dislocation of the first and second metatarsophalangeal (MTP) joints due to a crush injury. We present the clinical manifestation, radiographic findings, and management approach for this unique isolated first and second ray MTP joint dorsal dislocation, without any associated fractures. This case report underscores several critical observations: firstly, hallux dorsal dislocation can potentially coincide with other injuries; secondly, it can stem from crushing trauma to the big toe; and thirdly, successful closed reduction, when followed by effective immobilization and early rehabilitation, can yield outstanding outcomes. Additionally, the report emphasizes the importance of pursuing another closed reduction attempt under general anesthesia, if the initial attempt in the emergency room proves unsuccessful, before contemplating open reduction.

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Section: Discussionmentioning

confidence: 99%

Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review

Bassil,

Nader,

Lajmi

et al. 2023

Cureus

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“…3 Moreover, first metatarsophalangeal (MTP) joint dislocation is uncommon injury with dorsal, lateral, or plantar direction of dislocation. [4][5][6] Old first MTP, Lisfranc, or Chopart injuries could result in the functional loss with lifelong disabilities such as midfoot collapse, fixed deformity, pressure ulcer, arthrosis, and bothersome pain. Operative management of these injuries is fraught with several possible complications such as soft tissue coverage breakdown, wound dehiscence, infection, painful devices, iatrogenic injuries to adjacent joints and neurovascular bundles, and inability to achieve anatomic reduction.…”

Section: Introductionmentioning

confidence: 99%

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

Vosoughi

Akbarzadeh

2019

Journal of Orthopaedics, Trauma and Rehabilitation

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Old simultaneous complex fracture-dislocation of the first metatarsophalangeal (MTP), Lisfranc, and naviculocuneiform joints as an overwhelming injury has not been reported in the literature yet. In a 29-year-old man, 6 months following the trauma, the medial column of foot was reconstructed using iliac tricortical bone graft from navicular to the first metatarsal. Arthrodesis of the second and third tarsometatarsal joints and resection arthroplasty of the first MTP joint were done. His clinical and radiographic evaluation after 18 months revealed an acceptable function with returning to pre-injury job but with some limitations in recreational activities.Level of evidence: level 4

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Turf Toe Injuries

Akoh

Kadakia

Parekh

2022

Tendon and Ligament Injuries of the Foot and Ankle

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Incarcerated Plantar Dislocation of the First Metatarsophalangeal Joint: Reduction Using Intra-articular Saline Injection

Abstract: Therapeutic, Level IV: Case report.

Cited by 3 publications

References 10 publications

Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review

Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review

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

Turf Toe Injuries

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