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Fracture-Dislocation of the Second Metatarsophalangeal Joint

A Case Report

Ayman M. A. Tadros Department of Orthopaedics, University of British Columbia, 910 W 10th Ave, Unit 3114, Vancouver, BC V5Z 4E3, Canada. (E-mail: amatadros@yahoo.com)

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 FRCSI, FRCS (Glasg.)

Traumatic second metatarsophalangeal dislocation is extremely rare. This article reports a case of traumatic second metatarsophalangeal dislocation associated with fracture of the second metatarsal shaft. Anatomical reduction is indispensable to preserve the function of the metatarsophalangeal joint and to avoid joint ankylosis and chronic foot pain. The patient was treated with open reduction of the fracture without violating the joint to decrease postoperative stiffness. He was followed-up for 6 months. The patient resumed full activity 3 months after surgery, with his joint attaining full range of movement. He reported no pain or joint stiffness during his last visit. To our knowledge, no similar injury has been reported previously. (J Am Podiatr Med Assoc 99(6): 525–528, 2009)