ArticleJournal of orthopaedic case reports2026
Complex Irreducible Dislocation of the Fourth Toe Proximal Interphalangeal Joint in a 5-year-old Boy Fixed by Soft Anchor: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Irreducible lesser-toe interphalangeal joint dislocation in children is rare, but may cause pain, recurrent dislocations, and soft-tissue injury. The optimal method of fixation remains unclear. We present the first-ever reported case of an irreducible fourth toe proximal interphalangeal joint dislocation in a 5-year-old boy, successfully fixed with JuggerKnot™ soft mini-anchor. Case Report: A 5-year-old boy with a crush injury to his left fourth toe, shown persistent dorsolateral dislocation of the proximal interphalangeal joint. Intraoperatively, close reduction failed, and we found a complete tear of the medial collateral ligament to be the culprit of the complex dislocation. It was repaired with the JuggerKnot™ soft mini-anchor and tied down to the proximal phalanx. Conclusion: This rare case illustrates the technique of soft mini-anchor in fixing irreducible dislocations with ligamentous injuries. It is safe and effective in children with similar injuries because it is one-staged operation that does not disrupt the growing cartilage and preserves joint motion.
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