Case:A 34-year-old woman sustained a direct trauma to the left hallux during a fall. Radiographs showed a dorsal dislocation of the first metatarsophalangeal joint and a wide separation of sesamoid complex. Closed reduction was tried: postreduction radiographs displayed reduction of first metatarsophalangeal joint and a complete sesamoid complex dislocation. The patient was scheduled for surgery. Through a medial approach, open reduction together with plantar structures release and repair were performed. Functional and radiographic outcomes were satisfactory at the last follow-up.Conclusion:In case of a "headphones-like lesion" surgery is required, together with plantar structures repair.
Mazzotti, A., Cassanelli, E., Artioli, E., Zielli, S.O., Arceri, A., Di Liddo, M., et al. (2024). First Metatarsal Headphones-Like Lesion: A Case of Unreducible Sesamoid Complex Dislocation. JBJS CASE CONNECTOR, 14(2), 1-4 [10.2106/JBJS.CC.23.00518].
First Metatarsal Headphones-Like Lesion: A Case of Unreducible Sesamoid Complex Dislocation
Mazzotti A.;Cassanelli E.;Artioli E.;Zielli S. O.;Arceri A.;Faldini C.
2024
Abstract
Case:A 34-year-old woman sustained a direct trauma to the left hallux during a fall. Radiographs showed a dorsal dislocation of the first metatarsophalangeal joint and a wide separation of sesamoid complex. Closed reduction was tried: postreduction radiographs displayed reduction of first metatarsophalangeal joint and a complete sesamoid complex dislocation. The patient was scheduled for surgery. Through a medial approach, open reduction together with plantar structures release and repair were performed. Functional and radiographic outcomes were satisfactory at the last follow-up.Conclusion:In case of a "headphones-like lesion" surgery is required, together with plantar structures repair.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
