AI Article Synopsis
- - A 4-year-old girl had a neglected dislocation of her fourth toe joint for 5 weeks, which couldn’t be fixed with a closed reduction due to soft tissue issues.
- - Surgery was performed to reopen and reset the joint, along with a corrective procedure on the metatarsal bone, resulting in no pain or deformity one year later.
- - It's crucial to quickly identify MTP dislocations since surrounding tendons can obstruct treatment, and sometimes surgery on the metatarsal is needed for proper healing.
Article Abstract
Case: A 4-year-old girl presented with a 5-week-old, neglected fourth metatarsophalangeal (MTP) joint dislocation with malunion of the fourth metatarsal. A previous attempt at closed reduction had failed. The reduction was hindered by dynamic stabilizing of soft tissues around the MTP joint. Open reduction of the fourth MTP joint dislocation and corrective osteotomy of the fourth metatarsal was performed. The patient was pain-free without any cosmetic deformity at the 1-year follow-up.
Conclusion: Prompt recognition of a MTP dislocation is vital. The long extensor tendon to the toe can hinder the closed reduction of the MTP dislocation. Osteotomy of the metatarsal malunion is necessary for stable reduction.
Level Of Evidence: 4.
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| http://dx.doi.org/10.2106/JBJS.CC.22.00220 | DOI Listing |
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