Dislocation of the First Metatarsophalangeal Joint: A Case Report and Suggested Classification System.
Dislocation of the first metatarsophalangeal joint is a relatively rare and still poorly known injury. The current classification includes only the dorsal variety of this lesion; thus, as further cases of other varieties are reported, a larger understanding of this entity is required. We report the case of a young male with dorsal dislocation of the first metatarsophalangeal joint treated by closed reduction. The clinical outcome at the 2-year follow-up point is reported. A review of the published data of the variations of this injury reported to date is included, and a new summarizing classification is suggested.
Professor of Orthopedic Surgery, Department of Orthopaedic and Traumatic Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia. Electronic address: zrigmak@yahoo.fr.
Makram
M
Zrig
Orthopedic Surgeon, Department of Orthopaedic and Traumatic Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Youssef
Y
Othman
Assistant Associate Professor of Orthopedic Surgery, Department of Orthopaedic and Traumatic Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Zied
Z
Bellaaj
Professor of Orthopedic Surgery, Department of Orthopaedic and Traumatic Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Mustapha
M
Koubaa
Professor of Orthopedic Surgery, Head of Department, Department of Orthopaedic and Traumatic Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Abderrazek
A
Abid
D000328:Adult; D006214:Hallux / Q000000981:diagnostic imaging; D006801:Humans; D004204:Joint Dislocations / Q000145:classification* / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D008349:Manipulation, Orthopedic; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000293:injuries*
closed reduction; dislocation variety; hallux; intersesamoid ligament; open reduction; plantar plate; sesamoid bones