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Diagnosis and management of toe dislocations: Insights from a case series
Clara X Quek1, Jun Jie Leeu1, Daniel Wei Ren Seng1
1Department of Orthopaedic Surgery, Woodlands Health Campus, Singapore, 17 Woodlands Drive 17, 737628, Singapore.
Abstract:
Toe dislocations can lead to chronic pain and impaired function if not promptly diagnosed and treated. In this paper, we describe a series of complex interphalangeal (IP) and metatarsophalangeal (MTP) joint dislocations and their subsequent surgical interventions. In Case 1, the patient was a 28-year old lady who sustained a left hallux IP joint dislocation after a fall. Case 2 described a 27-year old male with a missed diagnosis of a left fifth MPJ joint dislocation at initial presentation. Both patients underwent open reduction and Kirshner-wiring with good outcomes. In Case 3, a 33-year old lady had a closed fracture-dislocation of the left second metatarsal head and underwent surgical fixation with an uneventful recovery. By reviewing these cases and the current literature, we highlight important factors in diagnosing and managing these injuries.
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