title: The floating metatarsal: first metatarsophalangeal joint dislocation with associated Lisfranc dislocation.
abstract: The authors report a case of an irreducible dorsal dislocation of the first metatarsophalangeal joint, with concomitant Lisfranc dislocation and fractures of the second, third, and fourth metatarsals. This combination has been reported only once in the literature. This extremely rare combined injury results in a floating metatarsal. Open reduction of the metatarsophalangeal joint dislocation and fixation of Lisfranc joint and metatarsal fractures with Kirschner wires was performed. One year after surgery, the patient is active and the first metatarsophalangeal joint is asymptomatic, but there is mild pain in the Lisfranc joint.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital, Zaragoza, Spain. kpacuen@yahoo.es
authors.forename: Jorge
authors.initials: J
authors.lastname: Cuenca Espiérrez
authors.forename: Angel Antonio
authors.initials: AA
authors.lastname: Martínez
authors.forename: Antonio
authors.initials: A
authors.lastname: Herrera
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Panisello
mesh_terms: D000328:Adult; D033023:Foot Joints / Q000293:injuries; D050723:Fractures, Bone / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000503:physiopathology; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries* / Q000503:physiopathology; D008683:Metatarsophalangeal Joint / Q000293:injuries*; D009104:Multiple Trauma / Q000503:physiopathology