Cargando…
Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report
INTRODUCTION: Open interphalangeal (IP) dislocations are completely uncommon. Up to now, different patterns of dislocation have been described. The combination of axial loading and hyperdorsiflexion forces, leading to plantar dislocation of the distal phalanx, is a rare type of injury, which has yet...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885645/ https://www.ncbi.nlm.nih.gov/pubmed/33623774 http://dx.doi.org/10.13107/jocr.2020.v10.i04.1812 |
_version_ | 1783651647882264576 |
---|---|
author | Malahias, Michael-Alexander Oikonomou, Dimitrios Kadu, Vikram V. Kotsapas, Michail Paschos, Nikolaos K. Giotis, Dimitrios |
author_facet | Malahias, Michael-Alexander Oikonomou, Dimitrios Kadu, Vikram V. Kotsapas, Michail Paschos, Nikolaos K. Giotis, Dimitrios |
author_sort | Malahias, Michael-Alexander |
collection | PubMed |
description | INTRODUCTION: Open interphalangeal (IP) dislocations are completely uncommon. Up to now, different patterns of dislocation have been described. The combination of axial loading and hyperdorsiflexion forces, leading to plantar dislocation of the distal phalanx, is a rare type of injury, which has yet not been reported. CASE REPORT: A rare case of traumatic open dislocation of the left great toe IP joint in a highly active, overweighted, male, amateur football player is presented. The possible underlying mechanism was impact of the left great toe against the ground and subsequent hyperdorsiflexion. The distal phalanx was dislocated plantarly, whereas the proximal phalanx was protruding out the dorsal skin of the toe. Open exploration and reduction led to excellent clinical results 6 months after surgery. CONCLUSION: Open traumatic IP dislocation of the great toe due to low force activity is a very rare mode of injury, which requires adequate treatment including immediate purification of the exposed joint, control of the sesamoids’ position, exclusion of intra-articular fractures, joint’s reduction, soft-tissue repair, and proper stabilization. |
format | Online Article Text |
id | pubmed-7885645 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-78856452021-02-22 Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report Malahias, Michael-Alexander Oikonomou, Dimitrios Kadu, Vikram V. Kotsapas, Michail Paschos, Nikolaos K. Giotis, Dimitrios J Orthop Case Rep Case Report INTRODUCTION: Open interphalangeal (IP) dislocations are completely uncommon. Up to now, different patterns of dislocation have been described. The combination of axial loading and hyperdorsiflexion forces, leading to plantar dislocation of the distal phalanx, is a rare type of injury, which has yet not been reported. CASE REPORT: A rare case of traumatic open dislocation of the left great toe IP joint in a highly active, overweighted, male, amateur football player is presented. The possible underlying mechanism was impact of the left great toe against the ground and subsequent hyperdorsiflexion. The distal phalanx was dislocated plantarly, whereas the proximal phalanx was protruding out the dorsal skin of the toe. Open exploration and reduction led to excellent clinical results 6 months after surgery. CONCLUSION: Open traumatic IP dislocation of the great toe due to low force activity is a very rare mode of injury, which requires adequate treatment including immediate purification of the exposed joint, control of the sesamoids’ position, exclusion of intra-articular fractures, joint’s reduction, soft-tissue repair, and proper stabilization. Indian Orthopaedic Research Group 2020-07 /pmc/articles/PMC7885645/ /pubmed/33623774 http://dx.doi.org/10.13107/jocr.2020.v10.i04.1812 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Malahias, Michael-Alexander Oikonomou, Dimitrios Kadu, Vikram V. Kotsapas, Michail Paschos, Nikolaos K. Giotis, Dimitrios Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report |
title | Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report |
title_full | Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report |
title_fullStr | Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report |
title_full_unstemmed | Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report |
title_short | Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report |
title_sort | open interphalangeal dislocation of the great toe in an amateur football player: a rare case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885645/ https://www.ncbi.nlm.nih.gov/pubmed/33623774 http://dx.doi.org/10.13107/jocr.2020.v10.i04.1812 |
work_keys_str_mv | AT malahiasmichaelalexander openinterphalangealdislocationofthegreattoeinanamateurfootballplayerararecasereport AT oikonomoudimitrios openinterphalangealdislocationofthegreattoeinanamateurfootballplayerararecasereport AT kaduvikramv openinterphalangealdislocationofthegreattoeinanamateurfootballplayerararecasereport AT kotsapasmichail openinterphalangealdislocationofthegreattoeinanamateurfootballplayerararecasereport AT paschosnikolaosk openinterphalangealdislocationofthegreattoeinanamateurfootballplayerararecasereport AT giotisdimitrios openinterphalangealdislocationofthegreattoeinanamateurfootballplayerararecasereport |