title: Fracture-dislocation of the first metatarsophalangeal joint: open reduction through a medial incisional approach.
abstract: A case of traumatic fracture-dislocation of the first metatarsophalangeal joint is reported. This type of injury is extremely rare. The injury was associated with complete disruption of the following anatomic structures: conjoined tendon of abductor hallucis and medial head of flexor hallucis brevis, plantar plate, and the intersesamoid ligament. Additionally, there was a transverse fracture of the tibial sesamoid. Excision of the fractured tibial sesamoid trapped within the joint and primary repair was achieved through a medial incisional approach. A complete description of the repair and rationale for the surgical procedure is discussed.
authors.affiliation: St Vincent Charity Hospital, Cleveland, OH 44115, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Good
authors.forename: G D
authors.initials: GD
authors.lastname: Weinfeld
authors.forename: G V
authors.initials: GV
authors.lastname: Yu
mesh_terms: D000328:Adult; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008683:Metatarsophalangeal Joint / Q000293:injuries*