Osteochondral Lesions of the Proximal Phalanx of the Great Toe: A Report of Two Cases

Two cases of osteochondral lesions of the proximal phalanx of the great toe at the interphalangeal joint are presented. This condition is characterized by pain, swelling, and tenderness at the interphalangeal joint. The roentgenographic characteristics resemble osteochondritis dissecans. Curettage and bone grafting to the lesion is effective. These conditions in adolescent soccer players may be caused by chronic repetitive overloading of the interphalangeal joint using soccer shoes with soft, supple, and narrow toe boxes.

Download Full-text

Endoscopic curettage and bone grafting of the enchondroma of the proximal phalanx of the great toe

Foot and Ankle Surgery ◽

10.1016/j.fas.2014.06.001 ◽

2015 ◽

Vol 21 (2) ◽

pp. 137-141 ◽

Cited By ~ 5

Author(s):

T.H. Lui

Keyword(s):

Bone Grafting ◽

Proximal Phalanx ◽

Great Toe ◽

Endoscopic Curettage

Download Full-text

Valgus Deformity of the Great Toe Interphalangeal Joint Treated by Reversed Sliding Osteotomy of the Proximal Phalanx: A Case Report

Foot & Ankle International ◽

10.3113/fai.2011.0448 ◽

2011 ◽

Vol 32 (4) ◽

pp. 448-451 ◽

Cited By ~ 1

Author(s):

Maya Kubo ◽

Wataru Miyamoto ◽

Masato Takao ◽

Youichi Yasui ◽

Ken Innami ◽

...

Keyword(s):

Case Report ◽

Proximal Phalanx ◽

Valgus Deformity ◽

Interphalangeal Joint ◽

Great Toe

Download Full-text

Irreducible Dislocation of Great Toe Interphalangeal Joint by an Accessory Sesamoid Bone: A Case Report and Review of Literature

Journal of Foot and Ankle Surgery Asia Pacific ◽

10.5005/jp-journals-10040-1049 ◽

2016 ◽

Vol 3 (1) ◽

pp. 56-58

Author(s):

S Rajasekaran ◽

Sundararajan Silvampatti

Keyword(s):

Case Report ◽

Open Reduction ◽

Proximal Phalanx ◽

Interphalangeal Joint ◽

Asia Pacific ◽

Volar Plate ◽

Review Of Literature ◽

Great Toe ◽

Sesamoid Bone ◽

Dorsal Aspect

ABSTRACT Irreducible dislocation of interphalangeal joint is a rare condition with only a few case reports in literature. Here, we report a case with irreducible dislocation of interphalangeal joint due to sesamoid bone interposition, which required open reduction. A 45-year-old male had a fall from height with irreducible dislocation of interphalangeal joint of great toe. Intraoperatively, the interposition of sesamoid bone over the dorsal aspect of proximal phalanx was identified. Displaced volar plate with sesamoid bone was reduced into the position, and the joint was stabilized with k wire. On follow-up, we observed that the patient had no discomfort or pain for 6 months. The displacement of sesamoid bone with volar plate and intact collateral ligaments locks the joint in extension and obstructs the reduction of interphalangeal joint dislocation. One should have the suspicion of possibility of open reduction after observing the interposition of sesamoid bone over the dorsal aspect of the proximal phalanx. Dorsal approach is usually advocated; medial approach can be used if there is wound over the plantar aspect. How to cite this article Silvampatti S, Rajasekaran S. Irreducible Dislocation of Great Toe Interphalangeal Joint by an Accessory Sesamoid Bone: A Case Report and Review of Literature. J Foot Ankle Surg (Asia-Pacific) 2016;3(1):56-58.

Download Full-text

Re-operation rate after surgical treatment of osteochondral lesions of the talus in paediatric and adolescent patients

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02282-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Daniel Körner ◽

Christoph E. Gonser ◽

Stefan Döbele ◽

Christian Konrads ◽

Fabian Springer ◽

...

Keyword(s):

Surgical Treatment ◽

Bone Grafting ◽

Cartilage Damage ◽

Osteochondral Lesions ◽

Retrograde Drilling ◽

Autologous Bone Grafting ◽

Operation Rate ◽

Group A ◽

Autologous Bone ◽

Group B

Abstract Background The aim of this study is to analyse the re-operation rate after surgical treatment of osteochondral lesions of the talus (OCLTs) in children and adolescents. Methods Between 2009 and 2019, 27 consecutive patients with a solitary OCLT (10 male, 17 female; mean age 16.9 ± 2.2 years; 8 idiopathic vs. 19 traumatic) received primary operative treatment (arthroscopy + bone marrow stimulation [BMS], n = 8; arthroscopy + retrograde drilling, n = 8; autologous chondrocyte implantation [ACI]/autologous bone grafting, n = 9; arthroscopy + BMS + retrograde drilling; n = 1; flake fixation, n = 1). Seventeen OCLTs were located at the medial and ten at the lateral talus. ‘Re-operation’ as the outcome measure was evaluated after a median follow-up of 42 months (range 6–117 months). Patients were further subdivided into groups A (re-operation, n = 7) and B (no re-operation, n = 20). Groups A and B were compared with respect to epidemiological, lesion- and therapy-related variables. Results Seven of 27 patients needed a re-operation (re-operation rate 25.9% after a median interval of 31 months [range 13–61 months]). The following operative techniques were initially used in these seven patients: arthroscopy + BMS n = 2, arthroscopy + retrograde drilling n = 4, ACI + autologous bone grafting n = 1. A comparison of group A with group B revealed different OCLT characteristics between both groups. The intraoperative findings according to the International Cartilage Repair Society (ICRS) classification revealed significantly more advanced cartilage damage in group B than in group A (p = 0.001). Conclusions We detected a re-operation rate of 25.9% after primary surgical OCLT treatment. Patients with re-operation had significantly lower ICRS classification stages compared to patients without re-operation.

Download Full-text