{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:54:21Z","timestamp":1774511661124,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Phalangeal fractures are common among foot injuries, with the majority amenable to conservative treatment. This case involved a fracture of the toe combined with intra\u2010articular sesamoid entrapment. To prevent nonunion, surgical intervention was recommended. We present a rare case of distal phalanx fracture of the toe with interphalangeal joint sesamoid entrapment, review the intraoperative challenges encountered, and summarize postoperative insights with recommendations. We report a 41\u2010year\u2010old female construction worker who presented with a crush injury to her right great toe. Diagnosis was confirmed radiographically. She underwent closed reduction and internal fixation with Kirschner wire (K\u2010wire) pinning. Follow\u2010up examinations showed callus formation at 6\u2009weeks, after which the K\u2010wire was removed upon fracture healing. Sesamoid entrapment, where the sesamoid becomes lodged within the joint space, typically causes pain, swelling, and restricted motion and is clinically uncommon. Cases of distal phalangeal fractures of the toe complicated with sesamoid entrapment in the interphalangeal joint are rarely reported. There is no consensus on whether to remove the entrapped sesamoid. Preoperatively, we plan to perform an open excision of the sesamoid bone. Combined with the patient's preference and local soft tissue condition, open reduction would cause relatively large trauma to the soft tissues. After discussion, we decided to perform closed reduction of the fracture followed by fixation with a single 1.2\u2010mm K\u2010wire. However, intraoperatively, the entrapped sesamoid acted as a lever, preventing anatomical reduction. Given the lower reduction requirements for the distal phalanx, we proceeded with approximate reduction and K\u2010wire fixation. Phalangeal fracture of the toe with interphalangeal joint sesamoid entrapment is rare. In cases requiring surgery, percutaneous K\u2010wire fixation can achieve direct short\u2010term efficacy, but it has long\u2010term risks and limitations. Based on the practical difficulties encountered, we believe that open reduction combined with sesamoid excision is a better surgical option, providing patients with a more reliable long\u2010term prognosis.<\/jats:p>","DOI":"10.1002\/ccr3.72221","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:34:13Z","timestamp":1773297253000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Distal Phalanx Fracture of the Toe With Sesamoid Entrapment in the Interphalangeal Joint: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9184-2750","authenticated-orcid":false,"given":"Weihao","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Orthopedics, the Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine Nanjing Medical University  Taizhou Jiangsu Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Cheng","sequence":"additional","affiliation":[{"name":"Taizhou Second People's Hospital  Taizhou Jiangsu Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, the Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine Nanjing Medical University  Taizhou Jiangsu Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198106000-00019"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198805000-00023"},{"key":"e_1_2_11_4_1","first-page":"295","article-title":"Irreducible Dislocation of the Hallucal Interphalangeal Joint","volume":"8","author":"Leung H. B.","year":"2002","journal-title":"Hong Kong Medical Journal"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501600908"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198708000-00021"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010011\u20100830\u2010x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079001000608"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/231685"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700520"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2018.10.068"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.12.047"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01062"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72221","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72221","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72221","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:05:41Z","timestamp":1774505141000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/ccr3.72221"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72221","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-12-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72221"}}