Dislocation of the interphalangeal joints of the lesser toes is an uncommon injury, and complex (irreducible) dislocation has rarely been reported. All previous reports note that, during open reduction, the volar plate is interposed within the joint, thereby blocking reduction. In this case, the medial collateral ligament was the primary obstruction to reduction. Clinically, these dislocations are difficult to appreciate. It is recommended that x-ray studies be performed so that this diagnosis is not overlooked.
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References
1.
. ClementeC.D.: Fasciae and muscles of the lower limb. In Anatomy of the Human Body, 30thAmerican Ed. GrayH. (ed.), Philadelphia, Lea & Febiger, 1985, pp. 422, 585–590.
2.
. DeLeeJ.C.: Fractures and dislocations of the foot. In Surgery of the Foot and Ankle. MannR.A.CoughlinM.J. (eds.), St. Louis, MO, Mosby Yearbook, 1993, pp. 1701–1703.
3.
. FugateD.S.ThomsonJ.D.ChristensenK.P.: An irreducible fracture-dislocation of a lesser toe: a case report. Foot Ankle, 11:317–318, 1991.
4.
. HamiltonW.G.: Foot and ankle injuries in dancers. In Surgery of the Foot and Ankle. MannR.A.CoughlinM.J. (eds.), St. Louis, MO, Mosby Yearbook, 1993, pp. 1244–1245.
5.
. JahssM.H.: Chronic and recurrent dislocations of the fifth toe. Foot Ankle, 1:275–278, 1981.
6.
. JahssM.H.: Traumatic dislocations of the first metatarsophalangeal joint. Foot Ankle, 1:15–21, 1980.
7.
. KatayamaM.MurakamiY.TakahashiH.: Irreducible dorsal dislocation of the toe. J. Bone Joint Surg., 70A:769–770, 1988.
8.
. KursunogluS.ResnickD.GoergenT.: Traumatic dislocation with sesamoid entrapment in the interphalangeal joint of the great toe. J. Trauma, 27:959–961, 1987.
9.
. MikiT.YamamuroT.KitaiT.: An irreducible dislocation of the great toe—report of two cases and review of the literature. Clin. Orthop., 230:200–206, 1988.
10.
. MyersonM.S.: Injuries to the forefoot and toes. In Disorders of the Foot and Ankle. JahssM.H. (ed.), Philadelphia, W. B. Saunders, 1991, pp. 2268–2269.
11.
. NelsonT.L.UggenW.: Irreducible dorsal dislocation of the interphalangeal joint of the great toe. Clin. Orthop., 157: 110–112, 1981.
12.
. NetterF.H.: Lower limb—ankle and foot. In Ciba Collection of Medical Illustrations—Musculoskeletal System, Vol. 8. Summit, NJ, Ciba-Geigy, 1987, pp. 119–120.
13.
. RichardsonE.G.StanleyC.G.: Fractures and dislocations of foot. In CrenshawA.H. (ed.): Campbell's Operative Orthopaedics, 8th Ed. CrenshawA.H. (ed.), St. Louis, MO, Mosby Year Book, 1992, pp. 2875–2877.
14.
. StienstraJ.J.DernerR.: Closed reduction of a proximal interphalangeal joint dislocation. J. Foot Surg., 29:385–387, 1990.
15.
. WilliamsP.L.WarwickR.DysonM.BannisterL.H.: Joints of the lower limb. In Gray's Anatomy, 37th Ed. Edinburgh, Scotland, Churchill Livingstone Publishers, 1989, pp. 516, 541–542, 652–656.
16.
. WolfeJ.GoodhartC.: Irreducible dislocation of the great toe following a sports injury—a case report. Am. J. Sports Med., 17:695–696, 1989.
17.
. YamamotoJ.FuruyaK.TomimatsuT.: Two cases of dorsolateral dislocation of the proximal interphalangeal joint of the toe. Kanto J. Orthop. Traumatol., 8:108–112, 1977.
