Journal of orthopaedic case reports · 2025
Irreducible Dislocation of the Great Toe Interphalangeal Joint Secondary to an Incarcerated Sesamoid: A Retrospective Case Series of Six Patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Durrani Salman, Goel Navneet, Kumar Juvesh, Kaushik Nischay, Dua Apoorv, Sattar Abdul
Аннотация
INTRODUCTION: Irreducible interphalangeal (IP) joint dislocation of the hallux is a rare injury, most often caused by interposition of the sesamoid-plantar plate complex. Diagnosis may be delayed due to subtle radiographs, and closed reduction is typically unsuccessful.
MATERIALS AND METHODS: This retrospective case series reports six patients (ages 25-60 years, 4 males and 2 females) who sustained dorsal or plantar hallux IP dislocations following sports injuries, falls, or crush trauma during 2 years. Four patients presented acutely, while one presented 3 weeks after injury. Closed reduction failed in all cases. Open reduction was performed in all patients, with temporary Kirschner-wire fixation.
RESULTS: No wound complications were noted; no extensor hallucis longus injuries were observed in any of the patients, and all of them healed well. The mean Visual Analog Scale (VAS) score pre-operative was 5.6, and the post-operative mean VAS score was 2.1; the mean time to return to work was 50 days. The follow-up (mean 6 months), four patients had full pain-free mobility, while two reported mild stiffness without functional limitation.
CONCLUSION: Irreducible hallux IP dislocations should be suspected when deformity persists after trauma. True-lateral radiographs are essential for diagnosis. Open or percutaneous reduction with temporary fixation provides reliable long-term outcomes.
MATERIALS AND METHODS: This retrospective case series reports six patients (ages 25-60 years, 4 males and 2 females) who sustained dorsal or plantar hallux IP dislocations following sports injuries, falls, or crush trauma during 2 years. Four patients presented acutely, while one presented 3 weeks after injury. Closed reduction failed in all cases. Open reduction was performed in all patients, with temporary Kirschner-wire fixation.
RESULTS: No wound complications were noted; no extensor hallucis longus injuries were observed in any of the patients, and all of them healed well. The mean Visual Analog Scale (VAS) score pre-operative was 5.6, and the post-operative mean VAS score was 2.1; the mean time to return to work was 50 days. The follow-up (mean 6 months), four patients had full pain-free mobility, while two reported mild stiffness without functional limitation.
CONCLUSION: Irreducible hallux IP dislocations should be suspected when deformity persists after trauma. True-lateral radiographs are essential for diagnosis. Open or percutaneous reduction with temporary fixation provides reliable long-term outcomes.