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Irreducible great toe dislocation with an incarcerated interphalangeal sesamoid: a case report and literature review
Arthrosc Orthop Sports Med 2023;10:40-43
Published online May 1, 2023;  https://doi.org/10.14517/aosm23006
© 2023 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Joonkyoo Kang, Gun-Woo Lee

Department of Orthopedic Surgery, Chonnam National University Hospital, Gwangju, Korea
Correspondence to: Gun-Woo Lee, https://orcid.org/0000-0002-9155-6498
Department of Orthopaedic Surgery, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-220-6332, Fax: +82-62-220-6338, E-mail: gwleeos@gmail.com
Received March 21, 2023; Revised March 31, 2023; Accepted April 3, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Irreducible interphalangeal (IP) joint dislocation of the great toe is a rare injury that is sometimes associated with the inherent IP joint anatomy. A closed reduction is difficult to obtain because of incarcerated sesamoid and plantar plates of the IP joint. Here we report the case of a 25-year-old male patient with irreducible IP joint dislocation of the great toe combined with incarcerated sesamoid and plantar plates. IP joint reduction was obtained by the dorsal, percutaneous, 1.6-mm Kirschner wire-pushing method without opening the joint or repairing the ruptured plantar plate. The clinical outcome was satisfactory, and the patient returned to pre-injury activity with a full range of motion 8 months postoperatively.
Keywords : Dislocation; Hallux; Sesamoid; Plantar plate; Percutaneous reduction
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