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

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...

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Main Authors: Ganesh Ramesh Shetty, Yogadeepan Dhakshinamurthi, Muthusaravanakumar Meignanaguru
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2023-01-01
Series:Journal of Orthopedics and Joint Surgery
Subjects:
Online Access:https://www.jojs.in/doi/JOJS/pdf/10.5005/jp-journals-10079-1111
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author Ganesh Ramesh Shetty
Yogadeepan Dhakshinamurthi
Muthusaravanakumar Meignanaguru
author_facet Ganesh Ramesh Shetty
Yogadeepan Dhakshinamurthi
Muthusaravanakumar Meignanaguru
author_sort Ganesh Ramesh Shetty
collection DOAJ
description 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.
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publisher Jaypee Brothers Medical Publisher
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series Journal of Orthopedics and Joint Surgery
spelling doaj-art-3abe3e1443c34f6a949bff52bd3cc81a2025-08-20T02:56:44ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632023-01-0151373910.5005/jp-journals-10079-111110Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case ReportGanesh Ramesh Shetty0Yogadeepan Dhakshinamurthi1Muthusaravanakumar Meignanaguru2Department of Orthopedics, Dr Muthus Hospital Super Speciality Orthopedic Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Orthopedics, Dr Muthus Hospital Super Speciality Orthopedic Hospital, Coimbatore, Tamil Nadu, India, Phone: +91 9952437518Department of Orthopedics, Dr Muthus Hospital Super Speciality Orthopedic Hospital, Coimbatore, Tamil Nadu, IndiaIntroduction: 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.https://www.jojs.in/doi/JOJS/pdf/10.5005/jp-journals-10079-1111k-wiremetatarsophalangeal joint dislocationplantar plate
spellingShingle Ganesh Ramesh Shetty
Yogadeepan Dhakshinamurthi
Muthusaravanakumar Meignanaguru
Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report
Journal of Orthopedics and Joint Surgery
k-wire
metatarsophalangeal joint dislocation
plantar plate
title Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report
title_full Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report
title_fullStr Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report
title_full_unstemmed Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report
title_short Management of Acute Traumatic Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes: A Case Report
title_sort management of acute traumatic irreducible metatarsophalangeal joint dislocation of the lesser toes a case report
topic k-wire
metatarsophalangeal joint dislocation
plantar plate
url https://www.jojs.in/doi/JOJS/pdf/10.5005/jp-journals-10079-1111
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