PMC5369860_01
1A-1C. Anteroposterior (AP), lateral and oblique plan radiographs, made at the time of the injury, showing a complete dorsal dislocation at the 1 st MTP joint with dorsolateral dislocation of the sesamoids.
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A review of the radiographic images showed dorsal dislocation of the first MTP joint of the right big toe (Fig. 1).
2A and 2B. lateral and oblique plan radiographs, made six months after the injury, showing diffuse osteopenia with flattening of the head of the 2nd metatarsal bone which thought to be chronic.
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Also, flattening of the head of the 2nd metatarsal bone was noted (Fig. 2).
Intraoperative picture showing the incision. The sesamoids dislocated laterally along with flexor tendon.
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In order to gain access to the dislocated first MTP joint, a dorsomedial approach was used (Fig. 3).
4A-4C. AP, lateral and oblique plan radiographs, made after the operation immediately, showing K-wire transfixing first MTP joint. Also, background disuse osteopenia is shown.
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Fixation of the MTP joint was carried out with the help of provisional Kirschner wire (k-wire) for more stability (Fig. 4).
5A-5C. AP, lateral and oblique plan radiographs, made after twelve months of the operation, showing adequate reduction of the first MTP joint with severe disuse osteopenia.
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However, other complications were neither observed nor reported by the patient either (Fig. 5).