PMC4997074_01
Dorsoplantar (a), oblique (b), and lateral (c) radiographs of the left foot at initial presentation.
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The fractures in his left foot included a second-metatarsal (MT) neck fracture, proximal third-MT fracture, and a comminuted fracture of the fourth MT (Figure 1).
Preoperative dorsoplantar (a), oblique (b), and lateral (c) radiographs of the left foot showing malunion at fracture site, resulting in a lengthened fourth MT, and a dorsal dislocation at the fourth MTP joint.
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Radiographs and CT scan imaging of his foot revealed healing fractures of the 2nd and 3rd MTs in acceptable position, a partial malunion of the 4th MT, and a dorsal dislocation of the 4th MTP joint (Figures 2 and 3).
CT scan at the level of the left 4th toe illustrating fracture malunion and dorsal dislocation at the MTP joint.
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Radiographs and CT scan imaging of his foot revealed healing fractures of the 2nd and 3rd MTs in acceptable position, a partial malunion of the 4th MT, and a dorsal dislocation of the 4th MTP joint (Figures 2 and 3).
Final dorsoplantar (a), oblique (b), and lateral (c) radiographs showing fusion at fracture site, shortening of fourth MT, and maintained reduction at the fourth MTP joint.
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Patient did have delayed wound healing but made excellent recovery, and, at final follow-up eight months after surgery, his 4th MT was fully healed, 4th MTP joint maintained a reduced position, there was some evidence of disuse osteopenia but no evidence of avascular necrosis (AVN) of the MT head, and he was back to his preinjury level of activity (Figure 4).