A Open Hallux Interphalangeal Joint Dislocation: A Rare Case
Background: The interphalangeal (IP) joint dislocation of hallux is a rare occurrence probably due to the presence of strong ligamentous attachments around it. Closed reduction of this kind of dislocation proves to be unsatisfactory. Herein, we are presenting a case of an open dorsomedial type of I...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-10-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/426 |
| _version_ | 1797359821143408640 |
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| author | Prem Kumar Kothimbakkam Arun Kumar Chandru Ganesh Anantharamakrishnan Vijayashankar Murugesan |
| author_facet | Prem Kumar Kothimbakkam Arun Kumar Chandru Ganesh Anantharamakrishnan Vijayashankar Murugesan |
| author_sort | Prem Kumar Kothimbakkam |
| collection | DOAJ |
| description |
Background: The interphalangeal (IP) joint dislocation of hallux is a rare occurrence probably due to the presence of strong ligamentous attachments around it. Closed reduction of this kind of dislocation proves to be unsatisfactory. Herein, we are presenting a case of an open dorsomedial type of IP joint dislocation following a road traffic accident.
Case Report: A 36-year-old woman with injury to her right great toe following a road traffic accident presented in the casualty of Chettinad Hospital, Kelambakkam, India. On examination, there was a 3 × 2 cm laceration present over the medial-plantar aspect. The bone was exposed. Hallux varus deformity was noted due to the dislocation of the IP joint. The reduction of IP joint dislocation was quite unstable and was fixed with two 1mm Kirschner wires (K-wires) under fluoroscopic guidance. The patient was sequentially followed up on the 4th and 6th weeks post-op. Joint integrity and stability were assessed which were found to be satisfactory after the removal of K-wire on the 6th week post-op.
Conclusion: Open IP dislocations of the hallux Miki type 2 are unstable types of injury to deal with. Closed reduction in these injuries is difficult owing to the impinging sesamoid bone along with other soft tissues. These types of injuries should be reduced and fixed with K-wires to have better stability followed by long-term immobilization of around 3 to 4 weeks.
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| first_indexed | 2024-03-08T15:29:18Z |
| format | Article |
| id | doaj.art-4240966fb07e46b588109f2e9eeebd09 |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-03-08T15:29:18Z |
| publishDate | 2023-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-4240966fb07e46b588109f2e9eeebd092024-01-10T06:16:10ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002023-10-019310.18502/jost.v9i3.13037A Open Hallux Interphalangeal Joint Dislocation: A Rare CasePrem Kumar Kothimbakkam0Arun Kumar Chandru1Ganesh Anantharamakrishnan2Vijayashankar Murugesan3Department of Orthopedics, Chettinad Hospital and Research Institute, Kelambakkam, IndiaDepartment of Orthopedics, Indira Medical College and Hospital, Thiruvallur, IndiaDepartment of Orthopedics, Chettinad Hospital and Research Institute, Kelambakkam, India Chettinad Academy of Research & Education Background: The interphalangeal (IP) joint dislocation of hallux is a rare occurrence probably due to the presence of strong ligamentous attachments around it. Closed reduction of this kind of dislocation proves to be unsatisfactory. Herein, we are presenting a case of an open dorsomedial type of IP joint dislocation following a road traffic accident. Case Report: A 36-year-old woman with injury to her right great toe following a road traffic accident presented in the casualty of Chettinad Hospital, Kelambakkam, India. On examination, there was a 3 × 2 cm laceration present over the medial-plantar aspect. The bone was exposed. Hallux varus deformity was noted due to the dislocation of the IP joint. The reduction of IP joint dislocation was quite unstable and was fixed with two 1mm Kirschner wires (K-wires) under fluoroscopic guidance. The patient was sequentially followed up on the 4th and 6th weeks post-op. Joint integrity and stability were assessed which were found to be satisfactory after the removal of K-wire on the 6th week post-op. Conclusion: Open IP dislocations of the hallux Miki type 2 are unstable types of injury to deal with. Closed reduction in these injuries is difficult owing to the impinging sesamoid bone along with other soft tissues. These types of injuries should be reduced and fixed with K-wires to have better stability followed by long-term immobilization of around 3 to 4 weeks. https://jost.tums.ac.ir/index.php/jost/article/view/426Hallux Interphalangeal Joint DislocationMiki TypeCase Study |
| spellingShingle | Prem Kumar Kothimbakkam Arun Kumar Chandru Ganesh Anantharamakrishnan Vijayashankar Murugesan A Open Hallux Interphalangeal Joint Dislocation: A Rare Case Journal of Orthopedic and Spine Trauma Hallux Interphalangeal Joint Dislocation Miki Type Case Study |
| title | A Open Hallux Interphalangeal Joint Dislocation: A Rare Case |
| title_full | A Open Hallux Interphalangeal Joint Dislocation: A Rare Case |
| title_fullStr | A Open Hallux Interphalangeal Joint Dislocation: A Rare Case |
| title_full_unstemmed | A Open Hallux Interphalangeal Joint Dislocation: A Rare Case |
| title_short | A Open Hallux Interphalangeal Joint Dislocation: A Rare Case |
| title_sort | open hallux interphalangeal joint dislocation a rare case |
| topic | Hallux Interphalangeal Joint Dislocation Miki Type Case Study |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/426 |
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