Abstract
The authors report a case of a dorsal dislocation of the fifth metatarsophalangeal
joint that could not be reduced by closed manipulation, and instead required open
reduction with Kirschner-wire fixation to maintain alignment. Although metatarsophalangeal
joint dislocation is not unheard of, it is not common for the deformity to resist
efforts at closed reduction and immobilization or percutaneous pin fixation. One year
after surgery, the patient described in this article had returned to his baseline
activity level, and was ambulating without pain while demonstrating full range of
motion in the fifth metatarsophalangeal joint.
Level of Clinical Evidence
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of Foot and Ankle SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- First and second metatarsophalangeal dislocation. A case report.J Am Podiatr Med Assoc. 1992; 82: 630-632
- Irreducible dislocation of the fifth metatarsophalangeal joint: a case report.Foot Ankle Int. 1994; 15: 625-626
- Isolated dorsal dislocation of the second metatarsophalangeal joint.Foot Ankle Int. 1980; 1: 30-32
- Plantar dislocation of the metatarsophalangeal joint: case report.Foot Ankle Int. 1994; 15: 446-449
- Traumatic dislocation of metatarsophalangeal joints: report of three different cases.Foot Ankle Surgery. 2001; 7: 229-234
- A new type of dislocation of the first metatarsophalangeal joint: a case report.Foot Ankle. 1992; 13: 542-545
- Plantar panmetatarsophalangeal dislocation—a hyperflexion injury.J Trauma. 1988; 28: 868-869
- Irreducible traumatic dislocation of the fourth metatarsophalangeal joint—a case report.Injury Extra. 2005; 36: 212-213
- Irreducible dislocation of the metatarsophalangeal joints of the foot.Clin Orthop Relat Res (145). 1979; : 224-226
- Irreducible dorsal MTP joint dislocation in the second and third toes.Injury. 2003; 34: 870-873
- Four toes dislocation at the metatarsophalangeal joint.The Foot. 1997; 7: 109-111
Article info
Publication history
Published online: March 26, 2010
Footnotes
Financial Disclosure: None reported.
Conflicts of Interest Disclosure: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
