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Dislocation of the Fifth Metatarsal Base Following Partial Fourth and Fifth Ray Amputation

A Case Report

Russell M. Carlson Loyola University Medical Center, Maywood, IL.
Edward Hines Veterans Affairs Hospital, Hines, IL.

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Nicholas C. Smith Loyola University Medical Center, Maywood, IL.
Edward Hines Veterans Affairs Hospital, Hines, IL.

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Rodney M. Stuck Podiatry Section, Surgical Services, Edward Hines Veterans Affairs Hospital, Hines, IL.
Department of Orthopedic Surgery, Loyola University Medical Center, Maywood, IL.

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Ronald A. Sage Edward Hines Veterans Affairs Hospital, Hines, IL.
Podiatry Section, Department of Orthopedic Surgery, Loyola University Medical Center, Maywood, IL.

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This case report presents a rare postoperative dislocation of the fifth metatarsal base following a healed open partial fourth and fifth ray amputation of a 62-year-old male veteran with poorly controlled diabetes mellitus. The dislocated fifth metatarsal base subsequently created a chronic ulceration and an inhibition of normal gait. The patient was taken to the operating room where the fifth metatarsal base was resected with transfer of the peroneus brevis tendon to the cuboid to maintain biomechanical stability. (J Am Podiatr Med Assoc 102(1): 71–74, 2012)

Corresponding author: Russell M. Carlson, DPM, Department of Orthopedic Surgery, Loyola University Medical Center, 2160 South 1st Avenue, Building 101, Maywood, IL 60153. (E-mail: rucarlson@lumc.edu)
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