Journal of Orthopedics and Joint Surgery

Register      Login

VOLUME 5 , ISSUE 1 ( January-June, 2023 ) > List of Articles

CASE REPORT

Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report

Ganesh Ramesh Shetty, Yogadeepan Dhakshinamurthi, Muthusaravanakumar Meignanaguru

Keywords : K-wire, Metatarsophalangeal joint dislocation, Plantar plate

Citation Information : Shetty GR, Dhakshinamurthi Y, Meignanaguru M. Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report. 2023; 5 (1):37-39.

DOI: 10.5005/jp-journals-10079-1111

License: CC BY-NC 4.0

Published Online: 03-01-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Introduction: Irreducible metatarsophalangeal joint dislocations of lesser toes are not very common. Case description: We report a rare case of a 27-year-old male patient who was injured following a motorbike accident and dislocated his second, third, and fifth metatarsophalangeal joint (MTP) along with a fourth metatarsal neck fracture and same-side femur shaft fracture. The fifth MTP reduction was achieved by the closed method; however, the second and third MTP was not reducible despite multiple attempts at closed reduction. This called for open reduction and stabilization with K-wires. Clinical significance: This case report depicts the mechanism of injury, clinical signs, and structures preventing close and open reduction techniques through the dorsal approach is reviewed.


HTML PDF Share
  1. Palma L De, Santucci A, Marinelli M. Traumatic dislocation of metatarsophalangeal joints: report of three different cases. Foot Ankle Surg 2001;7(4):229–234. DOI: 10.1046/j.1460-9584.2001.00277.x
  2. Kamath SU, Savur AD, Pramod S. Irreducible traumatic dislocation of the fourth metatarsophalangeal joint–a case report. Injury Extra 2005;36(6):212–213. DOI: 10.1016/j.injury.2004.10.026
  3. Neogi DS, Bandekar SM, Sadekar V, et al. Irreducible dislocation of all the lesser metatarsophalangeal joints of the foot: a case report. Foot Ankle Spec 2012;5(5):324–326. DOI: 10.1177/1938640012457940
  4. Lo H, Liu PC, Shen PC, et al. Irreducible metatarsophalangeal joint dislocation of the lesser toes, a case report. J Am Podiatr Med Assoc 2013;103(3):236–240. DOI: 10.7547/1030236
  5. Raj S, Subramani S, Babar SJ, et al. Rare case report of closed traumatic dislocation of second to fifth metatarsophalangeal joints. Cureus 2020;12(11):e11745. DOI: 10.7759/cureus.11745
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.