*Department of Orthopedics and Traumatology, Baltalimani Bone Diseases Training and Research Hospital, Baltalimanı, Istanbul, Turkey.
†Department of Orthopaedics and Traumatology, İstanbul Basaksehir Pine and Sakura State Hospital, Istanbul, Turkey.
J Am Podiatr Med Assoc. 2023 Jan-Feb;113(1). doi: 10.7547/21-128.
Dislocation of the proximal interphalangeal joint of the fifth toe is an uncommon injury. When it is diagnosed in the acute phase, closed reduction is commonly an adequate treatment option. We describe a rare case of a 7-year-old patient who presented with late-diagnosed isolated dislocation of the proximal interphalangeal joint of the fifth toe. Although there are a few reported cases of late-diagnosis combined fracture-dislocation of the toes in both adult and pediatric age groups in the literature, belatedly diagnosed dislocation of the fifth toe without accompanying fracture in the pediatric population, to our knowledge, has not yet been reported. This patient achieved good clinical outcomes after treatment via open reduction and internal fixation.
第五跖趾关节近端指间关节脱位较为少见。在急性阶段诊断后，通常采用闭合复位作为治疗选择。我们报告了一例罕见的 7 岁患儿，其表现为迟发性第五跖趾关节近端指间关节单纯脱位。虽然文献中报道了成人和儿童时期少数迟发性合并跖趾关节骨折脱位的病例，但据我们所知，在儿童人群中，迟发性且无伴随骨折的第五跖趾关节脱位尚未见报道。该患者经切开复位内固定治疗后获得了良好的临床效果。
