Irreducible Traumatic Miki Type II Dislocation of Hallucal Interphalangeal Joint: An Insight into this Rare InjuryCorrespondence Address :
Flat 9A, Park View Apartments, Convent Junction, Market Road, Ernakulam, Kerala, India.
Complex irreducible dislocation of the Interphalangeal Joint (IPJ) of the great toe is a rare injury, due to the inherent stability of the joint. Miki has classified these injuries into two types, and this article is on a case of complex type II dislocation managed by open reduction and internal fixation. These rare injuries, especially the type II variety, invariably need surgical management and overzealous attempts at closed reduction must be avoided as it risks injury to critical neurovascular and joint supporting structures, leading to poorer patient outcomes. An extensive comparative review of literature is presented here along with the optimal surgical approach, technique and postoperative rehabilitation, so as to maximise patient outcomes following these rare and challenging injuries.
Hallux, Open reduction, Sesamoid bone
Leon Alexander. IRREDUCIBLE TRAUMATIC MIKI TYPE II DISLOCATION OF HALLUCAL INTERPHALANGEAL JOINT: AN INSIGHT INTO THIS RARE INJURY. Journal of Clinical and Diagnostic Research [serial online] 2019 September [cited: 2019 Aug 20 ]; 13:PD01-PD03. Available from
Date of Submission: Jun 11, 2019
Date of Peer Review: Jul 13, 2019
Date of Acceptance: Jul 24, 2019
Date of Publishing: Sep 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)