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CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 2  |  Page : 40-42

One-week-old irreducible hallucal interphalangeal joint dorsomedial dislocation due to an incarcerated sesamoid: A case report and its review of literature


1 Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
2 Department of Orthopaedics, Subharti Medical College, Meerut, Uttar Pradesh, India
3 Department of Orthopaedics, S. N. Medical College, Agra, Uttar Pradesh, India

Correspondence Address:
Dr. Deepankar Verma
1139/1, Sector-3, Vasundhara, Ghaziabad, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JODP.JODP_8_19

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Among the dislocations around the great toe, hallucal interphalangeal (IP) dislocation is a rare entity, with the most common being metatarsophalangeal dislocation due to its greater lever arm. We present the case of a young manual labourer with a missed hallucal IP joint dislocation with an incarcerated sesamoid, initially managed by an osteopath. After a failed attempt of closed reduction in the emergency department, we performed open reduction and reposition of sesamoid using dorsal incision and stabilized the joint with a K wire which was removed after 4 weeks. The patient was gradually mobilized and returned to his work of manual labor after 3 months without any residual pain or deformity.


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