{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:25Z","timestamp":1789290325470,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>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 a JuggerKnot\u2122 soft mini-anchor.\n\nCase Report: A 5-year-old boy with a crush injury to his left fourth toe showed 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\u2122 soft mini-anchor and tied down to the proximal phalanx.\n\nConclusion: This rare case illustrates the technique of soft mini-anchors in fixing irreducible dislocations with ligamentous injuries. It is safe and effective in children with similar injuries because it is a one-stage operation that does not disrupt the growing cartilage and preserves joint motion.\n\nKeywords: Interphalangeal joint, dislocation, soft anchor, medial collateral ligament, juggerknot\u2122.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i08.7818","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T13:26:42Z","timestamp":1786109202000},"page":"136-140","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Complex Irreducible Dislocation of the Fourth Toe Proximal Interphalangeal Joint in a 5-year-old Boy Fixed by Soft Anchor: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Samuel Tin Yan","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Wong","sequence":"additional","affiliation":[{"name":"Faculty of Science, University of British Columbia, Vancouver, Canada,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert Yun Po","family":"Chang","sequence":"additional","affiliation":[{"name":"Congruence Orthopaedics and Rehabilitation Centre, Hong Kong SAR, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Man","family":"Cheung","sequence":"additional","affiliation":[{"name":"Congruence Orthopaedics and Rehabilitation Centre, Hong Kong SAR, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:28Z","timestamp":1789289128000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/08\/complex-irreducible-dislocation-of-the-fourth-toe-proximal-interphalangeal-joint-in-a-5-year-old-boy-fixed-by-soft-anchor-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i08.7818","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i08.7818","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}