Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months

[Display omitted] The authors report a rare case of simultaneous dorsal dislocation of all five metatarsophalangeal joints of the right foot after a motorcycle accident. The first MTP joint dislocation was an open injury. A formal debridement was performed under spinal anesthesia. After applying the...

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Bibliographic Details
Published in:Foot & ankle surgery (New York, N.Y.) N.Y.), 2022, Vol.2 (1), p.100141, Article 100141
Main Authors: Concha, Juan Manuel, González, Humberto, Concha, Carolina, Rosas, Luis Alejandro
Format: Article
Language:English
Subjects:
Metatarsophalangeal dislocation
MTP open dislocations
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Summary:[Display omitted] The authors report a rare case of simultaneous dorsal dislocation of all five metatarsophalangeal joints of the right foot after a motorcycle accident. The first MTP joint dislocation was an open injury. A formal debridement was performed under spinal anesthesia. After applying the reduction maneuver to all lesser metatarsophalangeal joints simultaneously, a satisfactory and stable reduction was obtained, fixation with Kirshner wires was not necessary, the leg was immobilized in a short plaster splint, and a full-thickness skin graft was performed five days later. The soft tissues healed adequately, and after three months, the patient had returned to his pre-injury activities. At 36 months follow-up evaluation, the patient had a full painless range of motion and no radiographic evidence of arthrosis.
ISSN:2667-3967
2667-3967
DOI:10.1016/j.fastrc.2021.100141