Sharma Aditya, Chenna Venkata Sai Harshabhargav, Pethari Hemanth Kumar Reddy, Pentapurthy Pradeep, Pureti Sri Ram, Gupta Anuj
Orthopedics and Trauma, Max Super Specialty Hospital, Vaishali, IND.
Medicine, St. Martinus University, Willemstad, CUW.
Cureus. 2022 Aug 31;14(8):e28636. doi: 10.7759/cureus.28636. eCollection 2022 Aug.
The dislocation of the metatarsophalangeal joint of lesser toes is a rare entity. There is a dearth of literature on the same. Also, there is no case described for neglected fifth metatarsophalangeal dislocation in the literature. We present a case of neglected lesser toe dislocation, its natural course, and its outcome after surgical management. Our patient is an eight-year-old child with a neglected dislocation of the fifth metatarsophalangeal joint two years back. The patient did not seek treatment because he has no problem walking. Gradually, there is an abnormal growth of the metatarsal which causes pressure soreness and difficulty walking. The patient was managed surgically with open reduction and K-wire fixation with good long-term results. The dislocation of fifth metatarsophalangeal dislocation is rare and may not cause difficulty in walking due to less weight-bearing. But prompt treatment is necessary, especially in children as the bones have remaining growth potential and may lead to abnormal bone growth.
小趾跖趾关节脱位是一种罕见的病症。关于此方面的文献匮乏。此外，文献中也没有描述被忽视的第五跖趾关节脱位的病例。我们呈现一例被忽视的小趾脱位病例、其自然病程以及手术治疗后的结果。我们的患者是一名8岁儿童，两年前发生了被忽视的第五跖趾关节脱位。该患者因行走无问题而未寻求治疗。逐渐地，跖骨出现异常生长，导致压痛和行走困难。该患者接受了切开复位和克氏针固定的手术治疗，长期效果良好。第五跖趾关节脱位很少见，由于负重较小可能不会导致行走困难。但及时治疗是必要的，尤其是对于儿童，因为骨骼仍有生长潜力，可能会导致骨骼异常生长。
