Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months

The authors report a rare case of simultaneous dorsal dislocation of all five metatarsophalangeal joints of the right foot after a motorcycle accident. The first MTP joint dislocation was an open injury. A formal debridement was performed under spinal anesthesia. After applying the reduction maneuve...

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Main Authors: Juan Manuel Concha, MD, Humberto González, MD, Carolina Concha, Luis Alejandro Rosas
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667396721001427
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author Juan Manuel Concha, MD
Humberto González, MD
Carolina Concha
Luis Alejandro Rosas
author_facet Juan Manuel Concha, MD
Humberto González, MD
Carolina Concha
Luis Alejandro Rosas
author_sort Juan Manuel Concha, MD
collection DOAJ
description The authors report a rare case of simultaneous dorsal dislocation of all five metatarsophalangeal joints of the right foot after a motorcycle accident. The first MTP joint dislocation was an open injury. A formal debridement was performed under spinal anesthesia. After applying the reduction maneuver to all lesser metatarsophalangeal joints simultaneously, a satisfactory and stable reduction was obtained, fixation with Kirshner wires was not necessary, the leg was immobilized in a short plaster splint, and a full-thickness skin graft was performed five days later. The soft tissues healed adequately, and after three months, the patient had returned to his pre-injury activities. At 36 months follow-up evaluation, the patient had a full painless range of motion and no radiographic evidence of arthrosis.
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spelling doaj.art-fcff6f10a04c45f5bbe0c65c39e529232022-12-21T23:33:59ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672022-01-0121100141Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 monthsJuan Manuel Concha, MD0Humberto González, MD1Carolina Concha2Luis Alejandro Rosas3Associate Professor, Departamento de Ciencias Quirurgicas, Universidad del Cauca, Popayán, Colombia; Corresponding author at: Carrera 9 N° 82N116 Popayán Colombia.Associate Professor, Departamento de Ciencias Quirurgicas, Universidad del Cauca, Popayán, ColombiaMedical Student Universidad Javeriana Bogotá, ColombiaMedical Student Universidad del Cauca, ColombiaThe authors report a rare case of simultaneous dorsal dislocation of all five metatarsophalangeal joints of the right foot after a motorcycle accident. The first MTP joint dislocation was an open injury. A formal debridement was performed under spinal anesthesia. After applying the reduction maneuver to all lesser metatarsophalangeal joints simultaneously, a satisfactory and stable reduction was obtained, fixation with Kirshner wires was not necessary, the leg was immobilized in a short plaster splint, and a full-thickness skin graft was performed five days later. The soft tissues healed adequately, and after three months, the patient had returned to his pre-injury activities. At 36 months follow-up evaluation, the patient had a full painless range of motion and no radiographic evidence of arthrosis.http://www.sciencedirect.com/science/article/pii/S2667396721001427Metatarsophalangeal dislocationMTP open dislocations
spellingShingle Juan Manuel Concha, MD
Humberto González, MD
Carolina Concha
Luis Alejandro Rosas
Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months
Foot & Ankle Surgery: Techniques, Reports & Cases
Metatarsophalangeal dislocation
MTP open dislocations
title Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months
title_full Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months
title_fullStr Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months
title_full_unstemmed Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months
title_short Uncommon case of traumatic dislocation of all five metatarsophalangeal joints: Results of treatment after 36 months
title_sort uncommon case of traumatic dislocation of all five metatarsophalangeal joints results of treatment after 36 months
topic Metatarsophalangeal dislocation
MTP open dislocations
url http://www.sciencedirect.com/science/article/pii/S2667396721001427
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