First and Second Metatarsophalangeal Joint Open Dislocations: A Case Report

Abstract

First, we differ on the opinion that the intact collateral ligaments make closed reduction of metatarsophalangeal joint impossible. The most common reason for failed closed reduction of MTP joint is interposed soft tissue. The volar plate is responsible for this in most instances2. Hence, interposed tissue rather than intact collateral ligaments is the reason for failed closed reduction. Chefik et al state that the ability to reduce the dislocation by non-operative measures depends largely on the type of dislocation and involvement of the sesamoid complex instead3.