First Metatarsal Headphones-Like Lesion

Author:

Mazzotti A.12ORCID,Cassanelli E.1ORCID,Artioli E.12ORCID,Zielli S.O.1ORCID,Arceri A.1ORCID,Di Liddo M.3,Faldini C.12

Affiliation:

1. 1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

2. Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna

3. Unit of Orthopaedic-Traumatology and Prosthetic Surgery and Revisions of Hip and Knee Implants, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference26 articles.

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5. Dorsal dislocation of the first metatarso-phalangeal joint. Report of four cases;Giannikas;J Bone Jt Surg Br.,1975

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