Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report.

Case report great toe interphalangeal dislocation open dislocation

Journal

Journal of orthopaedic case reports
ISSN: 2250-0685
Titre abrégé: J Orthop Case Rep
Pays: India
ID NLM: 101641392

Informations de publication

Date de publication:
Jul 2020
Historique:
entrez: 24 2 2021
pubmed: 25 2 2021
medline: 25 2 2021
Statut: ppublish

Résumé

Open interphalangeal (IP) dislocations are completely uncommon. Up to now, different patterns of dislocation have been described. The combination of axial loading and hyperdorsiflexion forces, leading to plantar dislocation of the distal phalanx, is a rare type of injury, which has yet not been reported. A rare case of traumatic open dislocation of the left great toe IP joint in a highly active, overweighted, male, amateur football player is presented. The possible underlying mechanism was impact of the left great toe against the ground and subsequent hyperdorsiflexion. The distal phalanx was dislocated plantarly, whereas the proximal phalanx was protruding out the dorsal skin of the toe. Open exploration and reduction led to excellent clinical results 6 months after surgery. Open traumatic IP dislocation of the great toe due to low force activity is a very rare mode of injury, which requires adequate treatment including immediate purification of the exposed joint, control of the sesamoids' position, exclusion of intra-articular fractures, joint's reduction, soft-tissue repair, and proper stabilization.

Identifiants

pubmed: 33623774
doi: 10.13107/jocr.2020.v10.i04.1812
pii: JOCR-10-78
pmc: PMC7885645
doi:

Types de publication

Case Reports

Langues

eng

Pagination

78-81

Informations de copyright

Copyright: © Indian Orthopaedic Research Group.

Déclaration de conflit d'intérêts

Conflict of Interest: Nil

Références

Mil Med. 2014 Feb;179(2):e253-8
pubmed: 24491627
J Bone Joint Surg Am. 1954 Jul;36-A(4):880-2
pubmed: 13174624
J Foot Ankle Surg. 2008 Jul-Aug;47(4):357-61
pubmed: 18590902
Surg Radiol Anat. 2012 Jan;34(1):39-42
pubmed: 21626274
J Foot Ankle Surg. 2011 Sep-Oct;50(5):580-4
pubmed: 21621431
Am J Orthop (Belle Mead NJ). 2013 Jul;42(7):329-30
pubmed: 24078946
Arch Bone Jt Surg. 2017 Nov;5(6):426-434
pubmed: 29299498
Clin Anat. 2003 Nov;16(6):520-1
pubmed: 14566900
Clin Orthop Relat Res. 1988 May;(230):200-6
pubmed: 3284677
Clin Orthop Relat Res. 1981 Jun;(157):110-2
pubmed: 7249443
J Foot Ankle Surg. 2006 Jul-Aug;45(4):271-4
pubmed: 16818156
Orthop J Sports Med. 2015 Apr 22;3(5):2325967115581593
pubmed: 26674882
Ned Tijdschr Geneeskd. 2014;158:A7339
pubmed: 24690521
Acta Ortop Mex. 2017 Jan-Feb;31(1):35-39
pubmed: 28741326
BMC Musculoskelet Disord. 2011 Nov 05;12:253
pubmed: 22053727

Auteurs

Michael-Alexander Malahias (MA)

Department of Orthopaedics, HYGEIA Hospital. Erythrou Stavrou 4, Marousi 15123. Athens, Greece.

Dimitrios Oikonomou (D)

Department of Orthopaedics, General Hospital of Grevena, Region Military Camp, 51100. Grevena, Greece.

Vikram V Kadu (VV)

Department of Orthopaedics, M.D. Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.

Michail Kotsapas (M)

Department of Orthopaedics, General Hospital of Grevena, Region Military Camp, 51100. Grevena, Greece.

Nikolaos K Paschos (NK)

Department of Orthopaedics and Biomedical Engineering, University of California. 1 Shields Ave, Davis, CA 95616, USA.

Dimitrios Giotis (D)

Department of Orthopaedics, General Hospital of Grevena, Region Military Camp, 51100. Grevena, Greece.

Classifications MeSH