{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:32:13Z","timestamp":1787142733779,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Traumatic dislocations of the proximal interphalangeal joint (PIPJ) of the lesser toes are rare injuries in the pediatric population, with limited literature available to guide management decisions. We report the case of a 5-year-old male who presented with irreducible dorsolateral dislocation of the right fifth toe PIPJ following trauma during play activities. Clinical examination revealed swelling, tenderness, and restricted movement of the affected digit. Plain radiographs confirmed the dislocation without associated fractures. Initial attempts at closed reduction under procedural sedation were unsuccessful, leading to the decision for surgical intervention. The patient underwent open reduction and internal fixation under general anesthesia. A dorsal longitudinal incision was made over the affected joint, revealing soft tissue interposition preventing reduction. The interposed tissue was carefully removed, anatomical reduction achieved, and joint stability maintained with Kirschner wire (K-wire) fixation. Postoperative management included appropriate analgesia, antibiotic prophylaxis, and immobilization. Regular follow-up demonstrated satisfactory healing without complications. This case demonstrates that irreducible pediatric toe PIPJ dislocations can be successfully managed with open reduction and K-wire fixation when closed reduction fails. Early recognition and appropriate surgical intervention are crucial for optimal outcomes. The rarity of these injuries necessitates high clinical suspicion and prompt specialist consultation to prevent potential complications and ensure proper treatment.<\/jats:p>","DOI":"10.4103\/aam.aam_532_25","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T17:00:47Z","timestamp":1764954047000},"page":"S71-S75","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic Fifth Toe Proximal Interphalangeal Joint Dislocation in a Pediatric Patient: Management with Open Reduction Internal Fixation and Kirschner Wire Fixation"],"prefix":"10.4103","volume":"25","author":[{"given":"Swaroop","family":"Solunke","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayan Priya","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank Satish","family":"Ugile","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urva Shantilal","family":"Dholu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"R1-20260819","first-page":"e25630","article-title":"Acute isolated irreducible proximal interphalangeal Joint dislocation of the fifth toe in a toddler: A case report","volume":"14","author":"Vij","year":"2022","journal-title":"Cureus"},{"key":"R2-20260819","doi-asserted-by":"crossref","first-page":"252","DOI":"10.7547\/1020252","article-title":"Management of nonreducible lesser toe interphalangeal dislocation: An unusual injury","volume":"102","author":"C\u00f3rdoba-Fern\u00e1ndez","year":"2012","journal-title":"J Am Podiatr Med Assoc"},{"key":"R3-20260819","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.hcl.2017.12.005","article-title":"Management of proximal interphalangeal joint fracture dislocations","volume":"34","author":"Caggiano","year":"2018","journal-title":"Hand Clin"},{"key":"R4-20260819","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/1756-0500-7-76","article-title":"Chronic irreducible dislocation of the proximal interphalangeal joint of the fifth toe: A case report","volume":"7","author":"Vaseenon","year":"2014","journal-title":"BMC Res Notes"},{"key":"R5-20260819","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1177\/107110079401501110","article-title":"Irreducible proximal interphalangeal dislocation of the fourth toe: A case report","volume":"15","author":"Weinstein","year":"1994","journal-title":"Foot Ankle Int"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1053\/j.jfas.2011.04.032","article-title":"Interphalangeal dislocation of toes: A retrospective case series and review of the literature","volume":"50","author":"Yang","year":"2011","journal-title":"J Foot Ankle Surg"},{"key":"R7-20260819","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/BF00453220","article-title":"A case of dorsal dislocation of the proximal interphalangeal joint of the fourth toe","volume":"115","author":"Nakae","year":"1996","journal-title":"Arch Orthop Trauma Surg"},{"key":"R8-20260819","first-page":"194","article-title":"Complications of smooth pin fixation of fractures and dislocations in the hand and wrist","volume":"285","author":"Botte","year":"1992","journal-title":"Clin Orthop Relat Res"},{"key":"R9-20260819","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1097\/bpo.0b013e3180317a22","article-title":"Incidence of pin track infections in children's fractures treated with Kirschner wire fixation","volume":"27","author":"Battle","year":"2007","journal-title":"J Pediatr Orthop"},{"key":"R10-20260819","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1308\/003588407X155482","article-title":"A review of K-wire related complications in the emergency management of paediatric upper extremity trauma","volume":"89","author":"Sharma","year":"2007","journal-title":"Ann R Coll Surg Engl"},{"key":"R11-20260819","doi-asserted-by":"crossref","first-page":"100375","DOI":"10.1016\/j.fastrc.2024.100375","article-title":"Irreducible proximal interphalangeal joint dislocation of the 5th toe in a child","volume":"4","author":"Sedais","year":"2024","journal-title":"Foot Ankle Surg Tech Rep Cases"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_532_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:01:34Z","timestamp":1787140894000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_532_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":11,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_532_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,5]]},"assertion":[{"value":"2025-09-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}