{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:21:47Z","timestamp":1770754907851,"version":"3.50.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Metatarsophalangeal (MTP) joint dislocations are uncommon due to the joint\u2019s inherent stability. Simultaneous dislocations of multiple lesser MTP joints with an associated fracture are extremely rare and typically result from high-energy trauma.\n\nCase Report: A 36-year-old female sustained dorsolateral dislocation of the 2nd, 3rd, and 4th MTP joints and an intra-articular fracture of the 5th metatarsal base following a tractor run-over injury. Closed reduction under regional anesthesia was successfully performed. The joints were found to be stable post-reduction and immobilized with a below-knee slab. The patient opted against surgical intervention for the 5th metatarsal fracture. At the 3-month follow-up, she showed complete recovery with excellent functional scores.\n\nConclusion: Multiple MTP dislocations can be successfully managed with closed reduction and conservative treatment when joint stability is achieved. Patient compliance and close follow-up are critical.\n\nKeywords: Metatarsophalangeal joint, dislocation, metatarsal fracture, below-knee slab.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6760","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T14:48:19Z","timestamp":1770734899000},"page":"104-107","source":"Crossref","is-referenced-by-count":0,"title":["Closed Traumatic Dislocation of 2nd\u20134th Metatarsophalangeal Joints with Associated 5th Metatarsal Base Fracture: A Rare Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Karaikal, India,","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arulkumar","family":"Nallakumarasamy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hariprasadh","family":"Duraikkannu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Vinayaka Mission Medical College and Hospital, Karaikal, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabaari","family":"Soundararajan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Vinayaka Mission Medical College and Hospital, Karaikal, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naveen","family":"Jeyaraman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mainak","family":"Roy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, of Orthopaedics, All India Institute of Medical Sciences, Kalyani, West Bengal, India","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhan","family":"Jeyaraman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T14:48:22Z","timestamp":1770734902000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/closed-traumatic-dislocation-of-2nd-4th-metatarsophalangeal-joints-with-associated-5th-metatarsal-base-fracture-a-rare-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6760","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}