Dislocation Of First Metatarsophalangeal Joint Research Articles

Irreducible Dorsal Dislocation of the First Metatarsophalangeal Joint: A Case Report

Dislocation of the first metatarsophalangeal (MTP) joint is a rare injury. Successful closed reduction depends largely on the type of dislocation. For irreducible cases, most were dorsal dislocations and caused by entrapment of sesamoidal complexes in the first MTP joint. Open reduction is often required. Only a few cases were reported in the literature. This article presents a case of irreducible dorsal dislocation of the first MTP joint, in which the medial sesamoidal complex was incarcerated in the MTP joint. To our best of knowledge, there was no similar report before. One year later, the patient was asymptomatic and had full range of motion of the first MTP joint.

A neglected plantar dislocation of first metatarsophalangeal joint: a case report

We describe a 17-year-old male patient with bilateral postaxial polydactily and traumatic plantar dislocation of the right first metatarsophalangeal joint which was untreated for three months. He had discomfort on the lateral side of both forefoots and a painful deformation on the right great toe. The patient was treated with amputation of both supernumerary toes and open reduction of the first metatarsophalangeal joint by means of medial and dorsal first web space insicions and intramedullary K-wire fixation. A short leg walking cast was applied to the right limb. After six weeks, the cast and the K-wire were removed and physiotherapy of the joint was started. Twenty months after surgery no instability but mild osteoarthritic changes were encountered at the joint.

Irreducible Dorsal Dislocation of First Metatarsophalangeal Joint by Closed Method: Report of a Case

Irreducible Dorsal Dislocation of First Metatarsophalangeal Joint by Closed Method: Report of a Case