Closed Traumatic Dislocation of 2nd-4th Metatarsophalangeal Joints with Associated 5th Metatarsal Base Fracture: A Rare Case Report.

INTRODUCTION

Metatarsophalangeal (MTP) joint dislocations are uncommon due to the joint's inherent stability. Simultaneous dislocations of multiple lesser MTP joints with an associated fracture are extremely rare and typically result from high-energy trauma.

CASE REPORT: A 36-year-old female sustained dorsolateral dislocation of the 2nd, 3rd, and 4th MTP joints and an intra-articular fracture of the 5th metatarsal base following a tractor run-over injury. Closed reduction under regional anesthesia was successfully performed. The joints were found to be stable post-reduction and immobilized with a below-knee slab. The patient opted against surgical intervention for the 5th metatarsal fracture. At the 3-month follow-up, she showed complete recovery with excellent functional scores.

CONCLUSION

Multiple MTP dislocations can be successfully managed with closed reduction and conservative treatment when joint stability is achieved. Patient compliance and close follow-up are critical.