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Dislocation of the Interphalangeal Joint of the Great Toe: Is Percutaneous Reduction of an Incarcerated Sesamoid an Option?A Report of Two Cases
Colin Yi-Loong Woon, MBBS, MRCS(Edin), MMed(Surg), MMed(Ortho)1
1 Department of Orthopaedic Surgery, Singapore General Hospital, 169608 Singapore. E-mail address: wolv23@gmail.com
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Disclosure: The author did not receive any outside funding or grants in support of his research for or preparation of this work. Neither he nor a member of his immediate family received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Orthopaedic Surgery, Singapore General Hospital, Singapore

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 May 01;92(5):1257-1260. doi: 10.2106/JBJS.I.01018
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Extract

Dorsal dislocation of the interphalangeal joint of the great toe is rare. It results from a hyperextension injury to the joint. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful owing to invagination of the sesamoid-plantar plate complex into the interphalangeal space. The classic treatment, open reduction, is indicated when closed reduction fails1-12.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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