Irreducible proximal interphalangeal dislocation of the fourth toe: a case report.
Dislocation of the interphalangeal joints of the lesser toes is an uncommon injury, and complex (irreducible) dislocation has rarely been reported. All previous reports note that, during open reduction, the volar plate is interposed within the joint, thereby blocking reduction. In this case, the medial collateral ligament was the primary obstruction to reduction. Clinically, these dislocations are difficult to appreciate. It is recommended that x-ray studies be performed so that this diagnosis is not overlooked.
Department of Orthopaedic Surgery, Bronx-Lebanon Hospital Center, New York 10456.
R N
RN
Weinstein
H P
HP
Insler
D002648:Child; D017885:Collateral Ligaments / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery* / Q000628:therapy; D008349:Manipulation, Orthopedic; D014033:Toe Joint / Q000293:injuries* / Q000601:surgery*