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Sesamoid bone interposition complicating reduction of a hallux joint dislocation
S J Ward1, R P Sheridan, I G Kendall
1Princess Margaret Hospital, Swindon, United Kingdom, Department of Accident and Emergency Medicine.
Journal of Accident & Emergency Medicine
|July 1, 1996
Summary
A dislocated big toe joint (hallux interphalangeal joint) can have a rare complication where a small bone (sesamoid bone) gets trapped during reduction. Post-reduction X-rays are crucial for detecting this hallux complication.
Area of Science:
- Orthopedics
- Podiatry
- Surgical Complications
Background:
- Hallux interphalangeal joint dislocations are uncommon injuries.
- Closed reduction is a standard treatment for such dislocations.
- Potential complications of closed reduction require careful consideration.
Observation:
- A unique case of sesamoid bone interposition within the hallux interphalangeal joint following closed reduction is presented.
- This interposition occurred as a direct complication of the reduction procedure.
Findings:
- This represents the first documented instance of sesamoid bone interposition in the hallux interphalangeal joint after closed reduction.
- The presence of the interpositioned sesamoid bone can impede successful joint realignment.
Implications:
- Highlights a previously unrecognized complication of hallux interphalangeal joint dislocation treatment.
- Emphasizes the critical role of post-reduction radiography in identifying subtle complications.
- Informs orthopedic and podiatric surgeons about potential pitfalls in hallux fracture and dislocation management.