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
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 access
One-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 Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- 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
Published online: March 26, 2010
Financial Disclosure: None reported.
Conflicts of Interest Disclosure: None reported.
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.