Isolated plantar dislocation of the cuneiform was reported in only two cases in the literature. We report a 57-year-old man with plantar dislocation of the cuneiform when the foot was struck by a large concrete block during construction of a building. Tarsometatarsal injuries are frequently overlooked. Therefore, plain computed tomography (CT) and three-dimensional CT are useful for adequate evaluation.
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http://dx.doi.org/10.1007/s00776-003-0727-6 | DOI Listing |
J Foot Ankle Surg
January 2025
Clinical Orthopeadics, University of Campania Luigi Vanvitelli, Vico L. de Crecchio, 80128 Naples Italy.
Subluxation or dislocation of the second metatarsophalangeal joint may be commonly associated with crossover toe, metatarsalgia, and painful calluses. This retrospective study aims to evaluate the clinical and functional results in patients with irreducible second metatarsophalangeal joint dislocation treated by double percutaneous osteotomy in one step: Haspell's osteotomy and Distal Metatarsal Mini-Invasive Osteotomy. A total of 39 patients were included in this study.
View Article and Find Full Text PDFClin Orthop Surg
December 2024
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background: A torn plantar plate (PP) is important pathologic anatomy related to a dislocated or subluxated metatarsophalangeal joint (MTPJ). Traditionally, a torn PP was treated with Weil osteotomy through a dorsal approach. However, because of the limited visualization of the dorsal approach, PP repair through a plantar approach has been proposed as a new technique.
View Article and Find Full Text PDFFoot Ankle Clin
December 2024
Department of Orthopaedic Surgery, Baylor University Medical Center, 3900 Junius Street, Suite 500, Dallas, TX 75246, USA; Foot and Ankle Surgery Fellowship Program, Baylor University Medical Center, Dallas, TX, USA.
Successful lesser toes and metatarsophalangeal (MTP) joint reconstruction must withstand substantial biomechanical loads from standing, walking, and exercise. While complications following lesser toe and MTP reconstruction are common, limited literature addresses revision surgeries for complications including recurrence. Numerous complications of surgery for toes and lesser MTP joints can be managed or improved through revision surgery, but not all complications can be prevented or resolved.
View Article and Find Full Text PDFFoot Ankle Clin
December 2024
Department Orthopaedics and Trauma Surgery, University Hospital Gregorio Marañon, C/Dr Esquerdo 46, Madrid 28007, Spain. Electronic address:
Lesser metatarsophalangeal (MTP) joints instability is usually produced by the rupture of the plantar plate. The treatment algorithm may change in patients with advanced stages of the plantar plate rupture, and surgical treatment is proposed to avoid MTP dislocation. Palliative surgery with minimally invasive surgery (MIS) can offer a less aggressive approach and enable excellent clinical correction and a good function.
View Article and Find Full Text PDFFoot Ankle Clin
December 2024
Department of Orthopaedic Surgery, Homer Stryker M.D. School of Medicine, Western Michigan University, 1000 Oakland Avenue, Kalamazoo, MI 49001, USA. Electronic address:
Metatarsophalangeal (MTP) instability is a common cause of metatarsalgia of the lesser toes. Instability often presents as pain in the plantar forefoot, progressing to coronal and transverse plane malalignment. MTP joint dislocation can develop in some cases.
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