First metatarsophalangeal joint dislocation with open fracture of tibial and fibular sesamoids

Simultaneous medial and lateral hallucal sesamoid fractures in a basketball player mimicking bipartite sesamoid condition

Simultaneous fractures of the medial and lateral hallucal sesamoids from sports injuries are an extremely uncommon occurrences, with only one case reported in a hurdler. We describe an unusual injury in a basketball player resulting in simultaneous fractures of the medial and lateral hallucal sesamoid bones, a presentation, which we believe has not been reported before in the literature. With a growing interest in sports, the frequency of such injuries will undoubtedly rise. We highlight the clinical characteristics, biomechanical mechanism, role of complementary cross-sectional imaging in the diagnosis of hallucal sesamoid fractures. This case report emphasizes the need of high index of suspicion in reaching conclusive diagnosis of such rare injuries to prevent long term complications such as avascular necrosis or non-union and facilitate early return to sporting activities.

Dislocation of the First Metatarsophalangeal Joint: A Case Report and Suggested Classification System

Dislocation of the first metatarsophalangeal joint is a relatively rare and still poorly known injury. The current classification includes only the dorsal variety of this lesion; thus, as further cases of other varieties are reported, a larger understanding of this entity is required. We report the case of a young male with dorsal dislocation of the first metatarsophalangeal joint treated by closed reduction. The clinical outcome at the 2-year follow-up point is reported. A review of the published data of the variations of this injury reported to date is included, and a new summarizing classification is suggested.

Hallux, sesamoid, and first metatarsal injuries

Hallux, sesamoid, and first metatarsal injuries are common foot injuries and have implications in the biomechanical functionality of the first ray and foot. They are essential for propulsion in normal gait. As part of the first ray, it is an important contributor to normal locomotion. Any structure disruption or injury can create angular changes or arthritis, which can have biomechanical implications, including pain, disability, compensation, swelling, and reduced range of motion.

Traumatic dislocation of the first metatarsophalangeal joint with entrapment of the flexor hallucis longus tendon

A case of traumatic dislocation of the first metatarsophalangeal joint with concomitant fibular sesamoid fracture and thoracic vertebral fracture is presented. The first metatarsophalangeal joint was repaired by means of open reduction with collateral ligament repair. At 12 months following the operation, the patient displayed nonpainful and unrestricted first metatarsophalangeal joint motion.