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Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review
Dorsal dislocation of the toes is an infrequent injury that can result in severe pain and deformity. Timely diagnosis and appropriate management are paramount for optimizing patient outcomes. This case report illustrates a 53-year-old male patient who suffered dorsal dislocation of the first and sec...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579970/ https://www.ncbi.nlm.nih.gov/pubmed/37854726 http://dx.doi.org/10.7759/cureus.45407 |
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author | Bassil, Georges F Nader, Fadi Lajmi, Achraf Missaoui, Zied |
author_facet | Bassil, Georges F Nader, Fadi Lajmi, Achraf Missaoui, Zied |
author_sort | Bassil, Georges F |
collection | PubMed |
description | Dorsal dislocation of the toes is an infrequent injury that can result in severe pain and deformity. Timely diagnosis and appropriate management are paramount for optimizing patient outcomes. This case report illustrates a 53-year-old male patient who suffered dorsal dislocation of the first and second metatarsophalangeal (MTP) joints due to a crush injury. We present the clinical manifestation, radiographic findings, and management approach for this unique isolated first and second ray MTP joint dorsal dislocation, without any associated fractures. This case report underscores several critical observations: firstly, hallux dorsal dislocation can potentially coincide with other injuries; secondly, it can stem from crushing trauma to the big toe; and thirdly, successful closed reduction, when followed by effective immobilization and early rehabilitation, can yield outstanding outcomes. Additionally, the report emphasizes the importance of pursuing another closed reduction attempt under general anesthesia, if the initial attempt in the emergency room proves unsuccessful, before contemplating open reduction. |
format | Online Article Text |
id | pubmed-10579970 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-105799702023-10-18 Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review Bassil, Georges F Nader, Fadi Lajmi, Achraf Missaoui, Zied Cureus Anatomy Dorsal dislocation of the toes is an infrequent injury that can result in severe pain and deformity. Timely diagnosis and appropriate management are paramount for optimizing patient outcomes. This case report illustrates a 53-year-old male patient who suffered dorsal dislocation of the first and second metatarsophalangeal (MTP) joints due to a crush injury. We present the clinical manifestation, radiographic findings, and management approach for this unique isolated first and second ray MTP joint dorsal dislocation, without any associated fractures. This case report underscores several critical observations: firstly, hallux dorsal dislocation can potentially coincide with other injuries; secondly, it can stem from crushing trauma to the big toe; and thirdly, successful closed reduction, when followed by effective immobilization and early rehabilitation, can yield outstanding outcomes. Additionally, the report emphasizes the importance of pursuing another closed reduction attempt under general anesthesia, if the initial attempt in the emergency room proves unsuccessful, before contemplating open reduction. Cureus 2023-09-17 /pmc/articles/PMC10579970/ /pubmed/37854726 http://dx.doi.org/10.7759/cureus.45407 Text en Copyright © 2023, Bassil et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anatomy Bassil, Georges F Nader, Fadi Lajmi, Achraf Missaoui, Zied Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review |
title | Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review |
title_full | Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review |
title_fullStr | Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review |
title_full_unstemmed | Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review |
title_short | Dorsal Dislocation of the First and Second Metatarsophalangeal Joint: A Case Report and Literature Review |
title_sort | dorsal dislocation of the first and second metatarsophalangeal joint: a case report and literature review |
topic | Anatomy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579970/ https://www.ncbi.nlm.nih.gov/pubmed/37854726 http://dx.doi.org/10.7759/cureus.45407 |
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