Rare Case Report of Closed Traumatic Dislocation of Second to Fifth Metatarsophalangeal Joints.
dorsal approach
foot and ankle
irreducible closed reduction
lesser mtp joints dislocation
no internal fixation
open reduction
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
28 Nov 2020
28 Nov 2020
Historique:
entrez:
6
1
2021
pubmed:
7
1
2021
medline:
7
1
2021
Statut:
epublish
Résumé
Closed traumatic dislocation of multiple metatarsophalangeal joints is a rare injury. Until now only one case of simultaneous dislocation of all five metatarsophalangeal joints has been reported in peer-reviewed studies. The complex anatomy of the metatarsophalangeal joints prevents the relocation of the joints in a closed manner in maximum cases. We are reporting a case of dorsal dislocation of the second to fifth metatarsophalangeal joints in the left foot after road traffic accident. Bony prominence over the plantar aspect and increased web space between toes on presentation, then incongruity of metatarsophalangeal joints has to be thoroughly checked on radiograph. Since closed reduction attempts failed open reduction was done through dorsal approach using two incisions. Button holing of the capsule with interposition of capsule and plantar plate was noted. Dorsal approach avoids damage to the plantar plate and surrounding soft tissues.
Identifiants
pubmed: 33403175
doi: 10.7759/cureus.11745
pmc: PMC7773289
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e11745Informations de copyright
Copyright © 2020, Raj et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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