Neglected Irreducible Dislocation of the Interphalangeal Joint of the Great Toe

A Case Report

Masahito Hatori, Masako Goto, Kentaro Tanaka, Richard Smith, Shoichi Kokubun

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Irreducible dorsal dislocation of the interphalangeal joint of the great toe is rare. We report a case of a 58-year-old man with an irreducible interphalangeal joint of the great toe that had been untreated for 4 years. The mechanism of this injury was thought to be a combination of axial loading with a hyperextension force when the patient hit his great toe against a pipe. Invagination of the sesamoid became a barrier for manual reduction attempted after the initial injury. The patient did not seek treatment because of the minor deformity of the affected great toe and lack of severe symptoms. One year later, symptoms eventually developed on the plantar aspect of the great toe, particularly when the patient was walking upstairs. He decided to seek treatment as pain worsened and he became more active when he changed occupations 4 years later. Manual reduction was impossible. The patient was treated with operative exploration of the joint and arthrodesis of the great toe. The operative course was uneventful. At 4 years after surgery, the patient could walk, run, and walk up and down stairs without discomfort.

Original languageEnglish (US)
Pages (from-to)271-274
Number of pages4
JournalJournal of Foot and Ankle Surgery
Volume45
Issue number4
DOIs
StatePublished - Jul 1 2006

Fingerprint

Toe Joint
Hallux
Arthrodesis
Wounds and Injuries
Weight-Bearing
Occupations
Walking
Joints
Pain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Neglected Irreducible Dislocation of the Interphalangeal Joint of the Great Toe : A Case Report. / Hatori, Masahito; Goto, Masako; Tanaka, Kentaro; Smith, Richard; Kokubun, Shoichi.

In: Journal of Foot and Ankle Surgery, Vol. 45, No. 4, 01.07.2006, p. 271-274.

Research output: Contribution to journalArticle

Hatori, Masahito ; Goto, Masako ; Tanaka, Kentaro ; Smith, Richard ; Kokubun, Shoichi. / Neglected Irreducible Dislocation of the Interphalangeal Joint of the Great Toe : A Case Report. In: Journal of Foot and Ankle Surgery. 2006 ; Vol. 45, No. 4. pp. 271-274.
@article{5d241412aa1f4c68a4a3e696a62df46f,
title = "Neglected Irreducible Dislocation of the Interphalangeal Joint of the Great Toe: A Case Report",
abstract = "Irreducible dorsal dislocation of the interphalangeal joint of the great toe is rare. We report a case of a 58-year-old man with an irreducible interphalangeal joint of the great toe that had been untreated for 4 years. The mechanism of this injury was thought to be a combination of axial loading with a hyperextension force when the patient hit his great toe against a pipe. Invagination of the sesamoid became a barrier for manual reduction attempted after the initial injury. The patient did not seek treatment because of the minor deformity of the affected great toe and lack of severe symptoms. One year later, symptoms eventually developed on the plantar aspect of the great toe, particularly when the patient was walking upstairs. He decided to seek treatment as pain worsened and he became more active when he changed occupations 4 years later. Manual reduction was impossible. The patient was treated with operative exploration of the joint and arthrodesis of the great toe. The operative course was uneventful. At 4 years after surgery, the patient could walk, run, and walk up and down stairs without discomfort.",
author = "Masahito Hatori and Masako Goto and Kentaro Tanaka and Richard Smith and Shoichi Kokubun",
year = "2006",
month = "7",
day = "1",
doi = "10.1053/j.jfas.2006.04.011",
language = "English (US)",
volume = "45",
pages = "271--274",
journal = "Journal of Foot and Ankle Surgery",
issn = "1067-2516",
publisher = "Academic Press Inc.",
number = "4",

}

TY - JOUR

T1 - Neglected Irreducible Dislocation of the Interphalangeal Joint of the Great Toe

T2 - A Case Report

AU - Hatori, Masahito

AU - Goto, Masako

AU - Tanaka, Kentaro

AU - Smith, Richard

AU - Kokubun, Shoichi

PY - 2006/7/1

Y1 - 2006/7/1

N2 - Irreducible dorsal dislocation of the interphalangeal joint of the great toe is rare. We report a case of a 58-year-old man with an irreducible interphalangeal joint of the great toe that had been untreated for 4 years. The mechanism of this injury was thought to be a combination of axial loading with a hyperextension force when the patient hit his great toe against a pipe. Invagination of the sesamoid became a barrier for manual reduction attempted after the initial injury. The patient did not seek treatment because of the minor deformity of the affected great toe and lack of severe symptoms. One year later, symptoms eventually developed on the plantar aspect of the great toe, particularly when the patient was walking upstairs. He decided to seek treatment as pain worsened and he became more active when he changed occupations 4 years later. Manual reduction was impossible. The patient was treated with operative exploration of the joint and arthrodesis of the great toe. The operative course was uneventful. At 4 years after surgery, the patient could walk, run, and walk up and down stairs without discomfort.

AB - Irreducible dorsal dislocation of the interphalangeal joint of the great toe is rare. We report a case of a 58-year-old man with an irreducible interphalangeal joint of the great toe that had been untreated for 4 years. The mechanism of this injury was thought to be a combination of axial loading with a hyperextension force when the patient hit his great toe against a pipe. Invagination of the sesamoid became a barrier for manual reduction attempted after the initial injury. The patient did not seek treatment because of the minor deformity of the affected great toe and lack of severe symptoms. One year later, symptoms eventually developed on the plantar aspect of the great toe, particularly when the patient was walking upstairs. He decided to seek treatment as pain worsened and he became more active when he changed occupations 4 years later. Manual reduction was impossible. The patient was treated with operative exploration of the joint and arthrodesis of the great toe. The operative course was uneventful. At 4 years after surgery, the patient could walk, run, and walk up and down stairs without discomfort.

UR - http://www.scopus.com/inward/record.url?scp=33745481493&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745481493&partnerID=8YFLogxK

U2 - 10.1053/j.jfas.2006.04.011

DO - 10.1053/j.jfas.2006.04.011

M3 - Article

VL - 45

SP - 271

EP - 274

JO - Journal of Foot and Ankle Surgery

JF - Journal of Foot and Ankle Surgery

SN - 1067-2516

IS - 4

ER -