Presentation
Foot pain post fall. PHx Charcot joint.
Patient Data
Age: 30 years
Gender: Male
From the case:
First metatarsophalangeal joint dislocation
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Forefoot soft tissue swelling. Dislocation of the first metatarsophalangeal joint. Associated bone fragment and lucency through the first metatarsal neck is suspicious for fracture.
Dense sclerosis of the navicular, possibly representing avascular necrosis. Two K wires are present in the midfoot and the one traversing the talonavicular joint is fractured.
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Normal metatarsophalangeal joint alignment. Fracture of the first metatarsal head.
Case Discussion
Metatarsophalangeal joint dislocations are uncommon injuries.
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