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Management of Nonreducible Lesser Toe Interphalangeal Dislocation

An Unusual Injury

Antonio Córdoba-Fernández Department of Podiatry, Seville University, Avicena s/n, Seville, 41009 Spain. (E-mail: acordoba@us.es)

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Interphalangeal joint dislocations of the lesser toes are relatively rare in clinical practice. Most nonreducible interphalangeal joint dislocations occur as a result of rupture or interposition of the plantar plate or of the collateral ligament in the joint space, thus hindering a closed reduction and, in most cases, compelling an open reduction. A post-reduction radiologic exploration is then essential to identify such an entity and proceed consequently. In some cases, such as the one introduced herein, a misdiagnosis, along with an inadequate surgical correction may lead to recurrence of the deformity and, ultimately, to a salvage arthrodesis. (J Am Podiatr Med Assoc 102(3): 252–255, 2012)