Bipolar Dislocation of the Proximal Phalanx of Toe: A Rare Injury

We report a very rare case of bipolar fracture with dislocation of the proximal phalanx or floating proximal phalanx of the toe. The literature has shown that closed reduction gives a lesser chance of success considering the inherent anatomy of the foot. We report a case of a 40-year-old male with a...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-09, Vol.12 (9)
Main Authors: Vellingiri, Kishore, S, Nagakumar J, Nazeer, Shaikh
Format: Article
Language:English
Subjects:
Case reports
Closed reduction
Disease prevention
Emergency Medicine
Fingers & toes
Fractures
Hospitals
Orthopedics
Potassium
Surgeons
Trauma
Wire
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Summary:We report a very rare case of bipolar fracture with dislocation of the proximal phalanx or floating proximal phalanx of the toe. The literature has shown that closed reduction gives a lesser chance of success considering the inherent anatomy of the foot. We report a case of a 40-year-old male with an open injury to his right foot involving bipolar dislocation of the proximal phalanx of the third toe with extensor digitorum longus tendon injury and fracture of the neck of the fourth proximal phalanx of the right foot. With the realization that open reduction and Kirschner wire fixation are good options in patients with such a presentation, a prompt and accurate diagnosis with a treatment plan was made, which lead to clinical success.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.10490