A New Type of Dislocation of the First Metatarsophalangeal Joint: A Case Report

Foot & Ankle ◽  
1992 ◽  
Vol 13 (9) ◽  
pp. 540-546 ◽  
Author(s):  
Reginald L. Hall ◽  
Terence Saxby ◽  
Robert M. Vandemark

We are reporting a case of traumatic dislocation of the first metatarsophalangeal joint that does not correspond to any previously reported type. This new type of dislocation was associated with a rupture of the lateral short sesamophalangeal ligament/plantar plate, partial rupture of the intersesamoid ligament, and separation of a previously bipartite tibial sesamoid. Closed reduction was easily performed; however, the distal portion of the tibial sesamoid remained trapped within the joint. The rationale for and result of surgical treatment are presented.

2008 ◽  
Vol 98 (2) ◽  
pp. 149-152 ◽  
Author(s):  
Michael Maskill ◽  
Robert Mendicino ◽  
Karl Saltrick ◽  
Alan Catanzariti

We present a case report about traumatic dislocation of the first metatarsophalangeal joint and patterns of injury. We are unaware of previous reports in the literature describing this unusual variant. (J Am Podiatr Med Assoc 98(2): 149–152, 2008)


2011 ◽  
Vol 18 (3) ◽  
pp. 63-69
Author(s):  
Aleksey Vital'evich Mazalov ◽  
N V Zagorodniy ◽  
V G Protsko ◽  
E M Sultanov ◽  
Z Kh Khamokov ◽  
...  

Algorithm for the choice of surgical techniques for the treatment of first metetarsophalangeal joint arthrosis is presented. New aspects of etiopathogenesis are determined. It is shown that syndrome of progressing flat valgus foot causes overloading of dorsal articular surfaces of first metatarsophalangeal joint resulting in fast progression of arthrosis in this joint. Schemes of various types of operations, their correlation by frequency of use and efficacy depending on the degree of pathology severity are presented.


2004 ◽  
Vol 10 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Sezgin Sarban ◽  
Orhan Erol ◽  
Mithat Yazar ◽  
Ugur E. Isikan

2000 ◽  
Vol 21 (5) ◽  
pp. 408-412 ◽  
Author(s):  
J.A. Harty ◽  
P. Kelly ◽  
D. Niall ◽  
J.C. O'Keane ◽  
M.M. Stephens

We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magnetic Resonance images, initially suggested a parosteal osteosarcoma arising from the tibial sesamoid. The mass was excised, and a histological diagnosis of Bizarre Parosteal Osteochondromatous Proliferation of bone (Nora's lesion) was made. The aggressive growth of this lesion may suggest a neoplasm clinically. Histological features, however, are those of a reactive lesion.


2017 ◽  
Vol 11 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Musa Uğur Mermerkaya ◽  
Erkan Alkan ◽  
Mehmet Ayvaz

Background. The aim of this study was to evaluate the mid- to long-term outcomes of metatarsal head resurfacing hemiarthroplasty in the surgical treatment of advanced-stage hallux rigidus. Methods. We performed a retrospective review of 57 consecutive patients (25 [43.9%] males, 32 [56.1%] females; mean age, 61.0 ± 6.4 years) who underwent first metatarsal head resurfacing hemiarthroplasty (HemiCAP) for hallux rigidus between August 2007 and September 2010. Sixty-five implantations were performed in 57 patients; 8 patients underwent bilateral procedures. All patients were clinically rated prior to surgery and at the final follow-up visit using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale and first metatarsophalangeal joint range of motion (MTPJ ROM). Results. The median follow-up duration was 81 (range = 8-98) months. The median preoperative AOFAS score was 34 (range = 22-59) points, which had increased to 83 (range = 26-97) points at the final follow-up visit (P < .001). The median preoperative first MTPJ ROM was 25° (range = 15° to 40°), which had increased to 75° (range = 30° to 85°) at the final follow-up visit (P < .001). Conclusions. First MTPJ hemiarthroplasty is an effective treatment method that recovers toe function and first MTPJ ROM, and provides good mid- to long-term functional outcomes. Levels of Evidence: Level IV: Retrospective case series


2008 ◽  
Vol 21 (4) ◽  
pp. 312 ◽  
Author(s):  
Yeong-Sik Yun ◽  
Young-Mo Kim ◽  
Kyung-Cheon Kim ◽  
Pil-Sung Kim

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