Plantar Dislocation of the First Metatarsophalangeal Joint
نویسندگان
چکیده
Plantar dislocation of the first metatarsophalangeal joint is an extremely rare primary hyperflexion injury of forefoot. A 32-year-old female was admitted to our emergency with a deformity and pain on his right foot. Dislocation was caused by motor vehicle. On physical examination mild swelling of the first MTPJ and plantar dislocation of the great toe were evident. Diagnosis was made on anteroposterior, and medial oblique radiographs. They confirmed a plantar dislocation of the right first MTPJ. The patient was treated with closed reduction of the first metatarsophalangeal joint by means of distraction. Twenty months after surgery no osteoarthritic changes, no narrowing and no limitation of the first MTPJ were encountered. The clinical result was good and the patient was satisfied.
منابع مشابه
First and Second Metatarsophalangeal Joint Open Dislocations: A Case Report
Dislocation of multiple metatarsophalangeal joint is an uncommon injury. The mechanism of injury is a high energy force distal to proximal with foot in hyperextension at the metatarsophalangeal (MTP) joint. The acute hyperextension of the toe at the moment of injury causes avulsion of the plantar part of the capsule from the junction of head and neck of the metatarsal. If the collateral ligamen...
متن کاملدررفتگی دورسال همزمان
Dorsal traumatic dislocation of metatarsophalangeal joint of great toe is a rare injury. Ability to reduce the dislocation by nonoperative measures depends largely on the type of dislocation and involvement of the sesamoid complex. There are three basic types of dislocations. Type I cases are usually irreducible on closed reduction, the metatarsal head being incarcerated by the conjoined tendon...
متن کاملA Case Report of Floating Metatarsal: Concomitant Dislocation of the Tarsometatarsal and Metatarsophlangeal Joints of the Second Toe
An extremely rare case of floating second metatarsal is reported. The reported case is a young man with simultaneous dislocation of tarsometatarsal and metatarsophalangeal joints of the second metatars following a car accident. Because of patient's discontent for open surgery, blind percutaneus pinning was performed that was not completely successful and in follow up radiography, 18 months late...
متن کاملPlantar plate repair of the second metatarsophalangeal joint: technique and tips.
Since diagnostic arthrography of the second metatarsophalangeal joint (MTPJ) has been popularized by Karpman and MacCollum (1), the relationship between plantar plate integrity and digital instability is better understood. Yao et al (2) suggested that an arthrogram of the second MTPJ exhibiting opacification of the flexor tendon sheath is pathognomonic for a plantar plate tear. The plantar plat...
متن کاملVariant of Lisfranc injury: Floating second metatarsal, a rare isolated injury
A 35 year old man presented to our emergency department after a traffic injury. Radiographic evaluation showed plantar dislocation of the second metatarsophalangeal joint and dorsal dislocation at the second tarsometatarsal joint. Under general anesthesia, closed reduction of the metatarsophalangeal joint was performed, followed by percutaneous fixation with a Kirschner-wire, and immobilization...
متن کامل