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Surgical Management of Neglected Hallux Interphalangeal Joint Dislocation with Incarcerated Ossicle: A Report of 2

David Escalante-Martínez^1,2,3, Marco Carrion-Monsalve^3,4, Diego Pañi-Riera^1,2,3

¹Hospital de Especialidades Quito No. 1 de la Policía Nacional del Ecuador, Quito, Ecuador.

JBJS Case Connector

|August 11, 2026

Abstract

Cases:

We report 2 rare cases of irreducible traumatic hallux interphalangeal joint dislocation caused by sesamoid ossicle interposition in otherwise healthy young men. Delays between the injury and treatment (4 and 6 weeks) required open surgical reduction using a medial approach. Both patients achieved a favorable outcome at 5- and 2-year follow-up.

Conclusion:

This rare condition requires a high index of suspicion and prompt percutaneous or open surgical reduction to ensure a favorable outcome. These cases contribute to the limited global literature on this condition and may support future research.

Keywords:

Hallux case report dislocation open reduction sesamoid bone

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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