Neglected dorsolateral dislocation of the first metatarsophalangeal joint: A case report

Omar A Al-Mohrej; Abdulrahman A AlOmair; Yara A Alfehaid; Abubaker A Alsumali; Nader S Al-Kenani

doi:10.1016/j.ijscr.2017.02.031

Neglected dorsolateral dislocation of the first metatarsophalangeal joint: A case report

Int J Surg Case Rep. 2017:34:43-48. doi: 10.1016/j.ijscr.2017.02.031. Epub 2017 Feb 21.

Authors

Omar A Al-Mohrej¹, Abdulrahman A AlOmair², Yara A Alfehaid³, Abubaker A Alsumali¹, Nader S Al-Kenani¹

Affiliations

¹ College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
² College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: ar.omair59@gmail.com.
³ College of Medicine, Alfaisal university, Riyadh, Saudi Arabia.

Abstract

Introduction: Although the first metatarsophalangeal (MTP) joint is frequently injured, Complete dislocation of the first MTP joint represents a relatively rare traumatic injury.

Presentation of case: A 46-year-old gentleman presented with a traumatic first MTP joint dislocation resulting from an automobile accident. Due to coronavirus outbreak in the hospital at that time, patient was referred to another hospital. Six months later, reduction was achieved surgically and fixation of the MTP with K-wires was done.

Discussion: Only few case reports have described the injury, and the ideal treatment along with the long-term result of the injury has yet to be further studied because reports are rare in this regard.

Conclusion: Functional range of motion may result even after 6 months of delayed treatment with ORIF and osteopenia may result.

Keywords: Case report; Delayed; Dislocation; First metatarsophalangeal joint; Surgery.