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

• Main Authors: Anurag Mittal, Deepankar Verma, Arunim Swarup, Rajnand Kumar, Rajat Kapoor, Sourabh Rai
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Journal of Orthopaedic Diseases and Traumatology
• Subjects: hallucal interphalangeal dislocation; miki classification; sesamoid
• Online Access: http://www.jodt.org/article.asp?issn=2665-9352;year=2019;volume=2;issue=2;spage=40;epage=42;aulast=Mittal

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.