Irreducible Dorsal Metatarsophalangeal Joint Dislocation of the Fifth Toe: A Case Report

Boussouga, M.; Boukhriss, Jalal; Jaafar, A.; Lazrak, K.

doi:10.1053/j.jfas.2009.10.005

Cited by 13 publications

(18 citation statements)

References 10 publications

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“…These dislocations usually occur due to high energy dorsiflexion and axial loading forces. This type of forceful dorsiflexion and axial loading can cause additional fractures and dislocations of the foot [5]. Dorsiflexion and axial loading caused a fifth MTP joint dislocation and a second, third, and fourth metatarsal head fracture after the fall, which was most likely the injury mechanism in this case.…”

Section: Discussionmentioning

confidence: 98%

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Irreducible Fifth Metatarsophalangeal Joint after Car Crush Injury

Türkmensoy

Erinç

Ergin

et al. 2015

Case Reports in Orthopedics

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Metatarsophalangeal joint dislocations are uncommon injuries. Herein, an irreducible dislocation of fifth metatarsophalangeal joint with fractures on the second, third, and fourth metatarsal head was reported. Joint reduction could not be achieved which necessitated open reduction. Six months after surgery the patient was walking and doing his daily activities without any complaints. He had returned to his pretrauma functional level.

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Section: Discussionmentioning

confidence: 98%

“…Irreducible dislocations are the only reported case reports in the English literature. Dislocations are usually dorsal in direction, but horizontal and plantar dislocations have also been reported [5]. These dislocations usually occur due to high energy dorsiflexion and axial loading forces.…”

Section: Discussionmentioning

confidence: 99%

Irreducible Fifth Metatarsophalangeal Joint after Car Crush Injury

Türkmensoy

Erinç

Ergin

et al. 2015

Case Reports in Orthopedics

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show abstract

“…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%

“…However, there can be interposed ligaments and tendons that make this difficult. An irreducible MTP joint is typically handled surgically from a dorsal approach which requires pinning to maintain the reduction [3,5,6]. With a dorsal approach, it can also be difficult to visualize and repair plantar plate damage [7].…”

Section: Abbreviationsmentioning

confidence: 99%

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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“…Irreducible traumatic MTP dislocations have been reported in various case reports. These are usually dorsal in direction and often a result of axial load applied to hyperextended toes [1–4]. Plantar dislocations are rare and usually due to dorsally directed force on the plantar aspect of metatarsal heads [9].…”

Section: Discussionmentioning

confidence: 99%