Traumatic Dislocation of All Four Lesser Metatarsophalangeal Joints. A Rare Case Presentation

Dinesh Dhar*

Closed traumatic multiple dislocations of metatarsophalangeal joints (MTP) are uncommon injuries. In the majority of cases described in the literature, open reduction is the treatment for reduction of the dislocation due to the complex anatomy of MTP joints, preventing closed reduction of the affected joints. Our case report describes the dorsoradial dislocation of the second to fifth MTP joints of the left foot following a motor vehicle accident, which was treated by closed manipulation and reduction of the affected joints under anesthesia successfully without external Kirschner wire fixation. Post-reduction, the affected foot was immobilized in a below-knee posterior plaster slab with strapping of the toes for a total of four weeks. At 12 weeks follow-up, the patient had resumed pre-injury activities with a painless range of all lesser toe movements without any radiographic evidence of arthritis on subsequent follow-up at 06 months post-injury.

This case highlights that a proper closed manipulation and reduction under anaesthesia is worth trying before embarking on open reduction, as the results of closed reduction are excellent with less morbidity and risks associated with open reduction.

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Published on: Feb 19, 2026 Pages: 5-7

Full Text PDF Full Text HTML DOI: 10.17352/ojt.000053
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