Neglected Metatarsophalangeal Joint Dislocation of the Lesser Toe with Associated Metatarsal Fracture Malunion in a 4-Year-Old Child: A Case Report

A 4-year-old girl presented with a 5-week-old, neglected fourth metatarsophalangeal (MTP) joint dislocation with malunion of the fourth metatarsal. A previous attempt at closed reduction had failed. The reduction was hindered by dynamic stabilizing of soft tissues around the MTP joint. Open reductio...

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Bibliographic Details
Published inJBJS case connector Vol. 13; no. 1
Main Authors Chandankere, Vidyasagar, Rachakonda, Kamalakar Rao, Maryada, Venkateshwar Reddy, Reddy, Guruva A V
Format Journal Article
LanguageEnglish
Published United States 01.01.2023
Subjects
Child, Preschool
Female
Fractures, Bone
Fractures, Malunited
Humans
Joint Dislocations - surgery
Metatarsal Bones - surgery
Metatarsophalangeal Joint
Toes
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Summary:A 4-year-old girl presented with a 5-week-old, neglected fourth metatarsophalangeal (MTP) joint dislocation with malunion of the fourth metatarsal. A previous attempt at closed reduction had failed. The reduction was hindered by dynamic stabilizing of soft tissues around the MTP joint. Open reduction of the fourth MTP joint dislocation and corrective osteotomy of the fourth metatarsal was performed. The patient was pain-free without any cosmetic deformity at the 1-year follow-up. Prompt recognition of a MTP dislocation is vital. The long extensor tendon to the toe can hinder the closed reduction of the MTP dislocation. Osteotomy of the metatarsal malunion is necessary for stable reduction. 4.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.22.00220