Congenital Dislocation of the Fifth Metatarsophalangeal Joint in Adults: Operative Technique. Issue 3 (2nd August 2018)

• Record Type: Journal Article
• Authors: Jaffe, David E.; Brodsky, James W.
• Is Part Of: Foot & ankle orthopaedics. Volume 3:Issue 3(2018)
• Publication Date: 2018-08-02
• Subjects: dislocated fifth toe -- congenital toe anomalies; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Orthopedics -- Periodicals; 617.584
• DOI: 10.1177/2473011418782488
• Languages: English
• ISSNs: 2473-0114

Abstract

Congenital dislocation of the fifth metatarsophalangeal (MTP) joint can cause significant limitations in a patient's ability to wear a closed shoe. Historic treatment has involved amputation of the digit or attempts at reconstruction. These techniques have had limited success with unreliable correction and/or unacceptable cosmesis. The authors present a detailed, methodical approach to reconstruction of this deformity with a stepwise algorithm that addresses both the bony and soft tissue components of the deformity. With this modern technique, reliable and satisfactory results can be expected.