J Korean Orthop Assoc.  2011 Oct;46(5):426-430.

Open Reduction of a Dislocation of the Interphalangeal Joint of the Great Toe Neglected for 6 Weeks

• Kim JK
• Kim RG

Abstract

Dislocation of the interphalangeal joint of the great toe is a condition which is reported rarely. Especially, it is extremely rarely reported as for the case of neglected dislocation. Here, we report one case of neglected dislocation for 6 weeks of the interphalangeal joint of the great toe. Reduction followed by a push of the incarcerated sesamoid bone based on dorsal approach, was done successfully, and we found satisfactory results after a 4 years of follow-up.

Keyword

great toe; interphalangeal joint; neglected dislocation; open reduction

MeSH Terms

Dislocations
Follow-Up Studies
Joints
Sesamoid Bones
Toes

Figure

• 

  Figure 1 Preoperative photograph shows dorsiflexed position of the great toe (cock-up toe).

• 

  Figure 2 Preoperative radiographs show dislocation of interphalangeal joint of the great toe and entrapped sesamoid bone in the interphalangeal joint.

• 

  Figure 3 Intraoperative photograph shows incarcerated sesamoid of the interphalangeal joint of the great toe.

• 

  Figure 4 Immediate postoperative radiographs show reduced interphalangeal joint of the great toe.

• 

  Figure 5 Radiographs taken right after removing a k-wire, at the 4th week of postoperative period.

• 

  Figure 6 Radiographs taken at 4 years after surgery show maintained reduction state of the interphalangeal joint of the great toe.

Reference

1. Sorene ED, Regev G. Complex dislocation with double sesamoid entrapment of the interphalangeal joint of the hallux. J Foot Ankle Surg. 2006. 45:413–416.

2. Roukis TS, Hurless JS. The hallucal interphalangeal sesamoid. J Foot Ankle Surg. 1996. 35:303–308.

3. Chung DW, Jeong BO. Irreducible dislocation of the interphalangeal joint of the great toe with lateral collateral ligament entrapment: a case report. J Korean Fract Soc. 2009. 22:110–113.

4. Miki T, Yamamuro T, Kitai T. An irreducible dislocation of the great toe. Report of two cases and review of the literature. Clin Orthop Relat Res. 1988. 230:200–206.

5. Eibel P. Dislocation of the interphalangeal joint of the big toe with interposition of a sesamoid bone. J Bone Joint Surg Am. 1954. 36:880–882.

6. Ha KI, Hahn SH, Chung MY, Moon B, Yoo HN. Dislocations of the interphalangeal joint of the great tow with interposition of a seamoid bone - a report of two cases -. J Korean Orthop Assoc. 1987. 22:815–818.

7. Yasuda T, Fujio K, Tamura K. Irreducible dorsal dislocation of the interphalangeal joint of the great toe: report of two cases. Foot Ankle. 1990. 10:331–336.

8. Berger JL, LeGeyt MT, Ghobadi R. Incarcerated subhallucal sesamoid of the great toe: irreducible dislocation of the interphalangeal joint of the great toe by an accessory sesamoid bone. Am J Orthop (Belle Mead NJ). 1997. 26:226–228.

9. Woon CY. Dislocation of the interphalangeal joint of the great toe: is percutaneous reduction of an incarcerated sesamoid an option?: A report of two cases. J Bone Joint Surg Am. 2010. 92:1257–1260.

10. Hatori M, Goto M, Tanaka K, Smith RA, Kokubun S. Neglected irreducible dislocation of the interphalangeal joint of the great toe: a case report. J Foot Ankle Surg. 2006. 45:271–274.