Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report
Dislocation of the first metatarsophalangeal joint most commonly occurs in a dorsal direction, although dorsolateral, lateral, and plantar dislocations have been described. The current case involves a dorsal dislocation of the first metatarsophalangeal joint with intersesamoid ligament rupture (Jahs...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396725000060 |
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| author | Ronald G. Ray, DPM, FACFAS, WCC, PT |
| author_facet | Ronald G. Ray, DPM, FACFAS, WCC, PT |
| author_sort | Ronald G. Ray, DPM, FACFAS, WCC, PT |
| collection | DOAJ |
| description | Dislocation of the first metatarsophalangeal joint most commonly occurs in a dorsal direction, although dorsolateral, lateral, and plantar dislocations have been described. The current case involves a dorsal dislocation of the first metatarsophalangeal joint with intersesamoid ligament rupture (Jahss IIA). Concomitant injury to the Lisfranc complex consisted of a plantarly impacted, vertical transverse fracture at the base of the first metatarsal, distal to the first metatarsal cuneiform joint. Reduction of the first metatarsophalangeal joint dislocation was not possible until the first metatarsal base fracture was reduced. Due to the proximity of the fracture to the first metatarsal cuneiform joint, the fracture fragment was removed, and a bone block distraction first metatarsal cuneiform arthrodesis was performed. Twenty-two months following the injury the patient had returned to all activities but noted some reduction in first metatarsophalangeal joint motion. |
| format | Article |
| id | doaj-art-957f39bfdb4e4d909f13a214c0442afa |
| institution | Kabale University |
| issn | 2667-3967 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj-art-957f39bfdb4e4d909f13a214c0442afa2025-08-20T03:32:04ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672025-01-015210047110.1016/j.fastrc.2025.100471Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case reportRonald G. Ray, DPM, FACFAS, WCC, PT0Benefis Foot and Ankle Clinic, Benefis Health System, 1301 11th Ave. South, Suite 6, Great Falls, MT 59405, USADislocation of the first metatarsophalangeal joint most commonly occurs in a dorsal direction, although dorsolateral, lateral, and plantar dislocations have been described. The current case involves a dorsal dislocation of the first metatarsophalangeal joint with intersesamoid ligament rupture (Jahss IIA). Concomitant injury to the Lisfranc complex consisted of a plantarly impacted, vertical transverse fracture at the base of the first metatarsal, distal to the first metatarsal cuneiform joint. Reduction of the first metatarsophalangeal joint dislocation was not possible until the first metatarsal base fracture was reduced. Due to the proximity of the fracture to the first metatarsal cuneiform joint, the fracture fragment was removed, and a bone block distraction first metatarsal cuneiform arthrodesis was performed. Twenty-two months following the injury the patient had returned to all activities but noted some reduction in first metatarsophalangeal joint motion.http://www.sciencedirect.com/science/article/pii/S2667396725000060DislocationDorsal dislocationMetatarsophalangeal jointSesamoid fractureLisfranc fracture dislocationFirst metatarsal fracture |
| spellingShingle | Ronald G. Ray, DPM, FACFAS, WCC, PT Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report Foot & Ankle Surgery: Techniques, Reports & Cases Dislocation Dorsal dislocation Metatarsophalangeal joint Sesamoid fracture Lisfranc fracture dislocation First metatarsal fracture |
| title | Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report |
| title_full | Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report |
| title_fullStr | Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report |
| title_full_unstemmed | Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report |
| title_short | Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report |
| title_sort | dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture a case report |
| topic | Dislocation Dorsal dislocation Metatarsophalangeal joint Sesamoid fracture Lisfranc fracture dislocation First metatarsal fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2667396725000060 |
| work_keys_str_mv | AT ronaldgraydpmfacfaswccpt dorsaldislocationofthefirstmetatarsophalangealjointwithfirstmetatarsalfractureacasereport |