Concomitant dislocation of the tarsometatarsal and metatarsophalangeal joints of the second toe (floating second metatarsal): a case report
2009

Rare Foot Injury Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Mobarake Mahmood Karimi, Saied Alireza, Baron Elisabeth

Primary Institution: Kerman University of Medical Sciences, Kerman, Iran

Hypothesis

What are the mechanisms and outcomes of simultaneous dislocation of the tarsometatarsal and metatarsophalangeal joints?

Conclusion

The patient was asymptomatic one and a half years after the injury, despite incomplete reduction of the Lisfranc joint.

Supporting Evidence

  • Simultaneous dislocation of the tarsometatarsal and metatarsophalangeal joints is extremely rare.
  • The patient opted for closed treatment methods instead of open surgery.
  • Post-operative radiographs confirmed successful reduction of the metatarsophalangeal joint.
  • Early evidence of degenerative joint disease appeared in the Lisfranc joints after one and a half years.

Takeaway

A man hurt his foot in a car accident and had a rare injury where two joints in his foot got dislocated. After treatment, he felt fine a year and a half later.

Methodology

The patient underwent closed reduction of the metatarsophalangeal joint and tarsometatarsal joints under general anesthesia.

Limitations

The patient was lost to follow-up after initial treatment, which limits long-term outcome assessment.

Participant Demographics

22-year-old male.

Digital Object Identifier (DOI)

10.1186/1757-1626-2-39

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