Author/Authors :
A, Sharma Department of Orthopaedics - Government Multispecialty Hospital - Chandigarh, India , R, Dosajh Department of Orthopaedics - Government Multispecialty Hospital - Chandigarh, India , GS, Bedi Department of Orthopaedics - Government Multispecialty Hospital - Chandigarh, India , K, Gupta Department of Orthopaedics - Government Multispecialty Hospital - Chandigarh, India , A, Jain Department of Orthopaedics - Government Multispecialty Hospital - Chandigarh, India
Abstract :
Dislocation of multiple metatarsophalangeal joint is an uncommon injury. The mechanism of injury is a high energy force distal to proximal with foot in hyperextension at the
metatarsophalangeal (MTP) joint. The acute hyperextension
of the toe at the moment of injury causes avulsion of the
plantar part of the capsule from the junction of head and neck
of the metatarsal. If the collateral ligaments remain intact,
they maintain the locked fibrocartilaginous plate over the
dorsum of the head of the metatarsal, making closed
reduction impossible. We report a case of simultaneous 1st
and 2nd MTP joint open dislocation. In the present case, we
chose the plantar approach utilizing the already present
plantar wound. At 18 months post-operative follow-up, there
was no instance of redislocations or signs of avascular necrosis of head of metatarsal.
