Academic Journal
Post-traumatic instability of the first metatarsophalangeal joint: a novel surgical technique of capsular reconstruction in a young kickboxer
| العنوان: | Post-traumatic instability of the first metatarsophalangeal joint: a novel surgical technique of capsular reconstruction in a young kickboxer |
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| المؤلفون: | Gianni Caizzi, Michele Coviello, Andrea Franchini, Flavia Riefoli, Florianna Palmiotto, Biagio Moretti |
| المصدر: | Medicinski Glasnik, Vol 20, Iss 1, Pp 95-100 (2023) |
| بيانات النشر: | Medical Association of Zenica-Doboj Canton, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | hallux varus, joint instability, metatarsophalangeal joint, Medicine |
| الوصف: | Aim To report a novel surgical technique of capsular reconstruction of post-traumatic instability of the first metatarsophalangeal joint (MTPJ). Methods The clinical case is related to a 24-year-old male athlete whose clinical symptoms began with pain and spontaneous dislocation of the left first MTPJ during a kickboxing fight. He received conservative treatment (cryotherapy and rest) at first. Afterwards, he referred persistent hallux instability associated with moderate pain, despite normal anatomic alignment with no evidence of first ray deformity. Plain traditional x-rays of the left foot, magnetic resonance imaging (MRI), static and dynamic ultrasonography (US) and clinical tests were performed in order to diagnose capsular ligamentous structure lesions. Results The plain x-rays showed hallux abductus angle of 3°. The MRI and US demonstrated a rupture of the lateral capsular ligamentous structures and detachment of the abductor tendon. The pull out medium-lateral of the capsule with the abductor suture was performed as a treatment for dynamic hallux varus deformity. At six-month follow up, the patient walked without lameness with complete active and passive range of motion and with a stable first MTPJ. Conclusion The patient presented with the post traumatic instability of the first metatarsophalangeal joint treated with a novel surgical technique of capsular reconstruction. The patient returned to the full weight-bearing in only 2 months of rehab. To the best of our knowledge, the surgical correction proposed has not been previously described. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1840-0132 1840-2445 |
| Relation: | https://ljkzedo.ba/mgpdf/mg38/02_Caizzi_1505_A.pdf; https://doaj.org/toc/1840-0132; https://doaj.org/toc/1840-2445 |
| DOI: | 10.17392/1505-22 |
| URL الوصول: | https://doaj.org/article/f033f5df262f42529cf4e39e34675962 |
| رقم الانضمام: | edsdoj.f033f5df262f42529cf4e39e34675962 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 18400132 18402445 |
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| DOI: | 10.17392/1505-22 |