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A Rare Case of Fifth Metatarsophalangeal Joint Subluxation: A Case Report

Susanna Basciani Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

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Simone Santini Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

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Gianluca Marineo Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

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Piergianni Di Santo Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

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Andrea Marinozzi Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

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Dislocations or subluxations of the metatarsophalangeal joints are rare, and open reduction is necessary in exceptional cases. In this case report, we present the case of a 30-year-old man who had chronic dislocation of the fifth metatarsophalangeal joint after a motorcycle accident. Stiffening of the joint capsule prevented closed reduction; therefore, the patient underwent surgery. After performing a Gauthier-type osteotomy, the joint was stabilized by Kirschner wire. The patient had an excellent recovery with no new dislocation episodes.

Corresponding author: Susanna Basciani, MD, Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy, Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy. (E-mail: susanna.basciani@unicampus.it)
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