Abstract

Plantar dislocation of the first metatarsophalangeal joint is an extremely rare primary hyperflexion injury of forefoot. A 32-year-old female was admitted to our emergency with a deformity and pain on his right foot. Dislocation was caused by motor vehicle. On physical examination mild swelling of the first MTPJ and plantar dislocation of the great toe were evident. Diagnosis was made on anteroposterior, and medial oblique radiographs. They confirmed a plantar dislocation of the right first MTPJ. The patient was treated with closed reduction of the first metatarsophalangeal joint by means of distraction. Twenty months after surgery no osteoarthritic changes, no narrowing and no limitation of the first MTPJ were encountered. The clinical result was good and the patient was satisfied.