http://www.boneschool.com/index.php/ en http://www.boneschool.com/index.php/lower-limb/foot-and-ankle/great-toe/dislocation <span class="field field--name-title field--type-string field--label-hidden">Great toe dislocation</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h3>&nbsp;</h3> <h3>Types</h3> <p>&nbsp;</p> <p><strong>1st MTPJ dislocation</strong></p> <p><strong>Interphalangeal joint dislocation</strong></p> <p>&nbsp;</p> <h4>Great toe MTPJ dislocation</h4> <p>&nbsp;</p> <p><img alt="Dis" data-entity-type="file" data-entity-uuid="71e88240-0efd-4aad-97c7-e648f96cf221" height="294" src="/sites/default/files/inline-images/Picture%201_17.png" width="245" /><img alt="Dis" data-entity-type="file" data-entity-uuid="51584c16-1ff2-47bd-ad32-86a1de9d99af" height="294" src="/sites/default/files/inline-images/Picture%201%20copy_4.png" width="215" /><img alt="Dis" data-entity-type="file" data-entity-uuid="96e4fa02-3579-43aa-84af-275e003d8331" height="294" src="/sites/default/files/inline-images/Picture%201%20copy%202.png" width="406" /></p> <p>&nbsp;</p> <h3><strong>Pathology</strong></h3> <p>&nbsp;</p> <p><strong>Hyperdorsiflexion</strong></p> <p>&nbsp;</p> <p><strong>Metatarsal head dislocates plantar</strong></p> <p>- tear of plantar plate / disruption bipartite sesamoid</p> <p>- may buttonhole through capsule / plantar plate</p> <p>&nbsp;</p> <h3><strong>Xray</strong></h3> <p>&nbsp;</p> <p><img alt="Dis" data-entity-type="file" data-entity-uuid="270fdc57-548c-4696-af71-201ce69fbf73" height="306" src="/sites/default/files/inline-images/Picture%201_18.png" width="259" /><img alt="Dis" data-entity-type="file" data-entity-uuid="be8915b8-e63a-4f51-bc4f-7a1d43690305" height="307" src="/sites/default/files/inline-images/Picture%201%20copy_5.png" width="224" /></p> <p>&nbsp;</p> <h3><strong>Blocks to closed reduction</strong></h3> <h3>&nbsp;</h3> <p><strong>Capsule / plantar plate</strong></p> <p><strong>Sesamoids</strong></p> <p><strong>Inter-sesamoid Ligament</strong></p> <p>&nbsp;</p> <h3><strong>Open Reduction</strong></h3> <p>&nbsp;</p> <p><strong>Dorsal approach</strong></p> <p>- protect dorsal superficial nerve (branch of SPN)</p> <p>- divide capsule medial to EHL</p> <p>&nbsp;</p> <p>Reduce and repair plantar plate / bipartite sesamoid</p> <p>+/- K wire</p> <p>&nbsp;</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5887096/pdf/main.pdf" rel="noopener" target="_blank">Surgical approach to 1st MTPJ dislocation</a></p> <p>&nbsp;</p> <h4>Interphalangeal joint dislocation</h4> <p>&nbsp;</p> <p><img alt="dis" data-entity-type="file" data-entity-uuid="f5e4079c-2fa5-46b9-8374-2caad971d50a" height="278" src="/sites/default/files/inline-images/Picture%201_19.png" width="245" /><img alt="dis" data-entity-type="file" data-entity-uuid="f40fb889-aa99-48c9-8a28-0cfc541142b3" height="277" src="/sites/default/files/inline-images/Picture%201%20copy_6.png" width="232" /><img alt="dis" data-entity-type="file" data-entity-uuid="1539dfeb-3bc0-4a74-ab59-c4888de8de74" height="278" src="/sites/default/files/inline-images/Picture%201%20copy%202_0.png" width="337" /></p> <p>&nbsp;</p> <h3><strong>Pathology</strong></h3> <p>&nbsp;</p> <p>Hyperdorsiflexion</p> <p>&nbsp;</p> <p>P1 head dislocates plantar</p> <p>&nbsp;</p> <p>Fractures</p> <p>&nbsp;</p> <h3><strong>Xray</strong></h3> <p>&nbsp;</p> <p><img alt="dis" data-entity-type="file" data-entity-uuid="3cf5ed77-1e4b-409e-8d44-8a63b0b2c8f1" src="/sites/default/files/inline-images/Picture%202_10.png" /><img alt="dis" data-entity-type="file" data-entity-uuid="a982f88b-f609-4c93-8378-b6dcc0b0f201" height="286" src="/sites/default/files/inline-images/Picture%202%20copy.png" width="237" /><img alt="dis" data-entity-type="file" data-entity-uuid="4453ab65-6b02-41b1-a083-1a6c52d86583" height="287" src="/sites/default/files/inline-images/Picture%202%20copy%202.png" width="339" /></p> <p>&nbsp;</p> <p><img alt="dis" data-entity-type="file" data-entity-uuid="46d45e2f-3d46-424b-8ff2-1f7d17b92d45" height="268" src="/sites/default/files/inline-images/Picture%203_6.png" width="236" /><img alt="dis" data-entity-type="file" data-entity-uuid="b5a33cb9-3185-452e-b50d-953f3109d341" height="269" src="/sites/default/files/inline-images/Picture%203%20copy_0.png" width="249" /><img alt="dis" data-entity-type="file" data-entity-uuid="5bb23afc-e6af-4229-9cbe-0744dc3c8adc" height="269" src="/sites/default/files/inline-images/Picture%203%20copy%202.png" width="354" /></p> <p>&nbsp;</p> <h3><strong>Blocks to closed reduction</strong></h3> <h3>&nbsp;</h3> <p>Sesamoid interposition</p> <p>&nbsp;</p> <h3><strong>Open Reduction</strong></h3> <p>&nbsp;</p> <p>Dorsal Approach</p> <p>- protect dorsal superficial nerve</p> <p>- divide capsule medial to EHL</p> <p>&nbsp;</p> <p>Reduce +/- K wire</p> <p>&nbsp;</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6260377/#fig0005" rel="noopener" target="_blank">Surgical approach to interphalangeal joint dislocation</a></p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>Timdwyer</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 02/07/2011 - 08:59</span> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden clearfix"> <ul class="links field__items"> <li><a href="/index.php/category/tags/great-toe-dislocation" hreflang="en">great toe dislocation</a></li> <li><a href="/index.php/category/tags/mtpj-dislocation" hreflang="en">MTPJ dislocation</a></li> <li><a href="/index.php/taxonomy/term/3522" hreflang="en">interphalangeal</a></li> <li><a href="/index.php/category/tags/dislocation" hreflang="en">dislocation</a></li> <li><a href="/index.php/category/tags/surgery" hreflang="en">surgery</a></li> <li><a href="/index.php/category/tags/open-reduction" hreflang="en">open reduction</a></li> <li><a href="/index.php/category/tags/aetiology" hreflang="en">aetiology</a></li> <li><a href="/index.php/category/tags/pathology" hreflang="en">pathology</a></li> <li><a href="/index.php/category/tags/blocks-reduction" hreflang="en">blocks to reduction</a></li> </ul> </div> Sun, 06 Feb 2011 21:59:53 +0000 Timdwyer 1508 at http://www.boneschool.com