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Closed reduction of a rare type III dislocation of the first metatarsophalangeal joint
- Source :
- Journal of manipulative and physiological therapeutics. 19(7)
- Publication Year :
- 1996
-
Abstract
- To discuss a rare Type III dislocation of the first metatarsophalangeal (MP) joint, without fracture, that used a closed reduction technique for correction.A 43-yr-old man suffered from an acute severe dislocation of his great toe as the result of acute forceful motion applied to the toe as his foot was depressed onto a brake pedal to avoid a motor vehicle accident. Physical examination and X-rays revealed the dislocation, muscle spasm, edema and severely restricted range of motion.The dislocation was corrected using a closed reduction technique, in this case a chiropractic manipulation. Fourteen months after reduction, the joint was intact, muscle strength was graded +5 normal, ranges of motion were within normal limits and no crepitation was noted. X-rays revealed normal intact joint congruency. The patient experienced full weight bearing, range of motion and function of the joint.Although a Type III dislocation of the great toe has only once been cited briefly in the literature, this classification carries a recommended surgical treatment protocol for correction. No literature describes a closed reduction of a Type III dislocation as described in this case report. It is apparent that a closed reduction technique using a chiropractic manipulation may be considered a valid alternative correction technique for Type III dislocations of the great toe.
Details
- ISSN :
- 01614754
- Volume :
- 19
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of manipulative and physiological therapeutics
- Accession number :
- edsair.pmid..........b4fa1d9e2b36d515330d92152b634cb7