Neglected dorsolateral dislocation of the first metatarsophalangeal joint: A case report. (2017)

• Record Type: Journal Article
• Authors: Al-Mohrej, Omar A.; AlOmair, Abdulrahman A.; Alfehaid, Yara A.; Alsumali, Abubaker A.; Al-Kenani, Nader S.
• Is Part Of: International journal of surgery case reports. Volume 34(2017)
• Page Start: 43
• Page End: 48
• Publication Date: 2017
• Subjects: First metatarsophalangeal joint -- Dislocation -- Delayed -- Case report -- Surgery; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.02.031
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Incidence of first MTP dislocation varies between 0.008% to 0.04%. The mechanism of dorsal dislocation injury is hyperextension of forefoot. In this case report, we are carrying out what seems to belong to a neglected Type IIIA. Full range of motion, and good results might be achieved despite delayed management. Disuse osteopenia can be observed as a complication of immobilization. Abstract: Introduction: Although the first metatarsophalangeal (MTP) joint is frequently injured, Complete dislocation of the first MTP joint represents a relatively rare traumatic injury. Presentation of case: A 46-year-old gentleman presented with a traumatic first MTP joint dislocation resulting from an automobile accident. Due to coronavirus outbreak in the hospital at that time, patient was referred to another hospital. Six months later, reduction was achieved surgically and fixation of the MTP with K-wires was done. Discussion: Only few case reports have described the injury, and the ideal treatment along with the long-term result of the injury has yet to be further studied because reports are rare in this regard. Conclusion: Functional range of motion may result even after 6 months of delayed treatment with ORIF and osteopenia may result.