Irreducible Dislocation of the Proximal Interphalangeal Joint of the Second Toe in a Six-Year-Old Child: A Case Report

JBJS Case Connect. Jul-Sep 2018;8(3):e66. doi: 10.2106/JBJS.CC.18.00023.

Abstract

Case: Closed reduction was unsuccessful in a 6-year-old girl with a dislocated proximal interphalangeal joint of the second toe. Surgical exploration revealed soft-tissue entrapment by a ruptured medial collateral ligament. After the entrapment was cleared, the joint was reduced but remained unstable. The ligament was repaired with an all-suture mini-anchor to restore stability. The patient had a good recovery, and normal toe function had been restored by 3 months.

Conclusion: This rare case demonstrates the safety of the use of all-suture mini-anchors in treating similar injuries in children because they leave a minimal footprint and a minimal amount of foreign material.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Female
  • Humans
  • Joint Dislocations / surgery*
  • Open Fracture Reduction
  • Toe Phalanges / injuries*
  • Toe Phalanges / surgery