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Related Experiment Videos

The floating first metatarsal: a case report.

Rina Jain1, Sonia Jain

  • 1Sharp Grossmont Hospital, San Diego, CA, USA. rjain@sdsm.net

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|January 10, 2006
PubMed
Summary
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A rare first metatarsal dislocation from both the metatarsophalangeal and tarsometatarsal joints occurred in a motor vehicle accident. Surgical repair involved open reduction and fixation with Kirschner wire and cannulated screws.

Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Foot and ankle surgery

Background:

  • Complete dislocation of the first metatarsal is an uncommon traumatic injury.
  • Such injuries can involve multiple joints, including the metatarsophalangeal and tarsometatarsal articulations.
  • Motor vehicle accidents are a potential cause of severe foot and ankle trauma.

Observation:

  • A 48-year-old male patient experienced a complete dislocation of the first metatarsal.
  • The injury affected both the first metatarsophalangeal (MTP) joint and the tarsometatarsal (TMT) joint.
  • The trauma resulted from a motor vehicle accident.

Findings:

  • Open reduction was performed to address the dislocation.
  • The first MTP joint was temporarily stabilized using a Kirschner wire for reduction maintenance.

Related Experiment Videos

  • The first TMT (metatarso-cuneiform) joint was stabilized with two cannulated screws.

    • Implications:

    • This case highlights a rare but severe injury pattern of the first metatarsal.
    • Surgical management requires addressing both MTP and TMT joint stability.
    • The described fixation techniques provide a viable option for managing such complex dislocations.
    • Further literature review on this infrequent injury is presented.