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Related Experiment Videos

[Bipolar dislocation of the first metatarsal bone]

J L Trinquier1, J F Filloux, H Paul

  • 1Service de Chirurgie Orthopédique, CHU Nord, Amiens, France.

Acta Orthopaedica Belgica
|January 1, 1995
PubMed
Summary

This report details a rare case of simultaneous cuneometatarsal and metatarsophalangeal joint dislocation in a young man. Treatment was successful, with normal toe function after two years, though Lisfranc joint changes were noted.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Podiatric Medicine

Background:

  • Simultaneous dislocation of the first cuneometatarsal joint and the first metatarsophalangeal joint is an exceptionally rare injury.
  • This specific injury pattern has not been previously documented in medical literature.

Observation:

  • A case involving a 22-year-old male patient with this rare simultaneous joint dislocation is presented.
  • The injury was characterized by its severe nature, leading to the simultaneous dislocation of both joints.
  • A potential complication during reduction, the interposition of a sesamoid bone hindering metatarsophalangeal joint reducibility, was noted.

Findings:

  • The patient underwent a standard treatment protocol involving closed reduction and pinning.
  • Post-treatment, the patient exhibited normal toe function and mobility after a 2-year follow-up period.

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  • Radiographic evaluation at 2 years revealed persistent modifications within the Lisfranc joint, despite functional recovery.

    • Implications:

    • This case expands the understanding of rare foot and ankle injuries, specifically simultaneous first cuneometatarsal and metatarsophalangeal joint dislocations.
    • It highlights the importance of recognizing potential complications like sesamoid interposition during the reduction of metatarsophalangeal joint dislocations.
    • The findings suggest that while functional recovery can be excellent, long-term radiographic changes in the Lisfranc joint may occur following such severe trauma.