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First Metatarsal Headphones-Like Lesion: A Case of Unreducible Sesamoid Complex Dislocation
A Mazzotti1,2, E Cassanelli1, E Artioli1,2
11st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Case:
A 34-year-old woman sustained a direct trauma to the left hallux during a fall. Radiographs showed a dorsal dislocation of the first metatarsophalangeal joint and a wide separation of sesamoid complex. Closed reduction was tried: postreduction radiographs displayed reduction of first metatarsophalangeal joint and a complete sesamoid complex dislocation. The patient was scheduled for surgery. Through a medial approach, open reduction together with plantar structures release and repair were performed. Functional and radiographic outcomes were satisfactory at the last follow-up.
Conclusion:
In case of a "headphones-like lesion" surgery is required, together with plantar structures repair.
