Abstract
Metatarsophalangeal joint dislocations are uncommon injuries. This article describes the surgical management of such injury with six months follow up report. A 13 years old boy presented with the complaints of deformity and shortening of the 5th toe of the right foot with callosity on plantar aspect since last five years. He sustained this injury by hitting a stone.He was diagnosed to have a compound dislocation of a metatarsophalangeal joint with severely angulated Salter and Harris type II epiphyseal injury of 5th toe of the left foot.Joint dislocation caused deformed shortened 5th toe, and epiphyseal malunion resulted in the plantar bony projection, callosity, ulceration, difficulty in walking and wearing the footwear. This case was managed surgically that culminated in an optimum functional and structural outcome. Malunited epiphysis was excised, the metatarsal bone was aligned and fixed with proximal phalanx by Kirschner wire to establish a pseudarthrosis. This method can be useful in such cases; however, needs to be evaluated with future studies.
Highlights
The patient was presented in the hospital with the history of trauma right foot 5 years back having the complaints of deformity and shortening of the 5th toe of right foot with callosity on plantar aspect for
The present case report 5th toe right foot with scar mark of wound closure describes the management of an ignored dislocation of dorsally [Figure 1(a)]
Capital epiphysis and callosity were excised by direct plantar approach, whereas metacarpal and proximal phalanx were aligned and fixed by K wire for three weeks
Summary
Management of such injuries (mal-united fractures and Clinically there was deformity and shortening of chronic dislocations) is surgical. The present case report 5th toe right foot with scar mark of wound closure describes the management of an ignored dislocation of dorsally [Figure 1(a)]. 5thmetatarso-phalangeal joint with marked ventrally visible protuberance with callosity and ulceration displaced epiphyseal (Salter–Harris type II) injury of [Figures 1(b) & 1(c)]. The report emphasizes the protuberance was bony hard. The base of the importance of careful physical examination and proximal phalanx was palpable. There was minimal assessment of the morbid anatomy of the injury by tenderness, stiffness, and loss of active and passive radiographs; followed by proper management
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