Dislocated toe today is quite rare type of damage to the musculoskeletal system. Depending on how early dislocation was diagnosed and proper treatment will be determined by the outcome of the injury.
Today, two different kinds of dislocation - in the metatarsophalangeal and interphalangeal joints. In almost all cases it will be an indirect mechanism of injury (for example, a dislocation is formed as a result of falling from a height on a straightened foot or due to the impact of a hard object).

Symptoms

In the case of dislocated toe becomes simply impossible to complete the operation of the damaged finger, in this case will be shown and pronounced acute pain.

Also in the field of producing finger injury may start bleeding, and there will be a characteristic deformation of the damaged finger, there is puffiness and swelling.

In the case of dislocation toe typical patient has pain occurring in the region of the damaged finger, the deformation is not only, but also the restriction of movement. In almost all cases it is shown a pronounced deformation, resulting in to the doctor will not be hard to diagnose the type of injury, so it is enough to diagnose a simple examination of the victim.

In the first place, after the formation of dislocation, it will be necessary to ensure complete immobility of the injured limb, as there is the risk of change, and without abnormal position of the joint. That's why the affected leg will have to be fixed in the most comfortable position, thus it is possible to use a fixing bandage or bus. After that, applied to the site of injury or simple ice towel, which must be pre-moisten with cold water.

It is important to remember that strictly prohibited attempt to straighten a dislocated toe, so how to do it should only be a trauma surgeon. The most common reduction is carried out with manual techniques, and as a result there is a risk of unqualified actions only worsen the condition of the patient, and significantly increase the duration of treatment.
Diagnostics

The basis of diagnosing the presence of dislocation toe data history lie, as well as defining a characteristic deformation, the position of the damaged finger, limiting functions, shortening, springy immobility, and of course, the results after carrying out X-ray, which is mandatory.

The most common dislocation of the first phalanx of the thumb, most often it is the distal, which will contribute to the largest possible freedom of movement in the joint, as well as a large functional load, which is directly on the first finger.

The second most frequent dislocations falls on a dislocated phalanx of the fourth finger. More rare are the dislocation of the middle finger of the foot. First of all it is explained by the fact that it is the middle finger of the foot has a maximum security due to their central location.

Quite often refer victims to form a dislocation of the phalanges of the toes to the side and to the rear. Extremely rare are sprains directly into the plantar side, it becomes possible as a result of a powerful ligament-capsular apparatus itself plantar region.

It should be remembered that the reduction sprained toe should be carried out before the development of soft tissue swelling began, of course, if this is possible. It is necessary to take into account the fact that after the onset of swelling occurs, it becomes quite difficult reduction of dislocation of the toes, first of all it refers to the dislocation of the middle phalanx of the plantar side, as well as dislocation of the proximal interphalangeal joint.

Prevention

The basis of prevention of the formation of dislocation of the toe, is the avoidance of injury that can trigger the onset of this type of dislocation.
Also, in order to prevent dislocation of the toe need to become more familiar with the causes that can cause it.

Treatment

Treatment of dislocation of the closed phalanx, in almost all cases, is carried out in an outpatient setting, the same may apply here and traumatic points. In this case, the victim will receive the necessary first aid for this type of injury, after which the patient should be kept under constant surveillance.

Treatment is carried out until until complete restoration of natural support function throughout the affected area of ​​the foot. Only after that the patient is given an extract and permission to go to work and lead a normal life.

In that case, if the dislocation was diagnosed with a closed toe phalanges, there is a need for strict observance of the following medical procedures. First of all the damaged finger is treated with tincture of iodine, and then held local anesthesia - directly into the damaged area of ​​the finger and the distal phalanx, will be administered 10 milliliters of a 1% solution of novocaine.

In the case of trudnovpravimyh dislocation, there is a need to conduct a special thin needles directly through the distal phalanx. This borehole will be recorded in a small arc, and in some cases may be used and hoe. Not only the special needles through the distal phalanx of the damaged toe, but also the use hoe, today is simple, but also very safe procedure that is carried out without adverse effects.

After that will be thrust directly on the length of a damaged finger. Parallel to this, the assistant must carry out for himself protivotyagu ankle. Further, while not quite relaxing rods in length, with one hand, and the thumb of the second hand will be immediately reduction of dislocation - on the basis of the most biased toward the phalanx, which should be completely the opposite occurring offset phalanx will be the pressure.

Once the procedure is complete reposition himself, the doctor will have to verify the extensor and flexor movements in the injured finger, and all manipulations must be carried out very gently and carefully, so as not to provoke the re-formation of dislocation.

Further reduction finger should be imposed special plaster bandage and held at the end of the control radiography. Using the above methods have a chance to make even the reduction of the dislocation, the formation of which occurred more than two weeks ago.

There are cases where the spokes will be transarticular. Thereafter damaged phalange should be bandaged using an adhesive patch, which is applied to multiple layers. These manipulations will be enough for further immobilization. About the second or third day can weaken the dressing, whereby it must be re-strengthened by using adhesive tape.

It is through the use of adhesive tape there is a great opportunity to have from the first days after the injury, to carry out active movements directly into the joint area of ​​the damaged finger, with this process and will provide a positive impact on its core functions, which will gradually recover.

In the event that occurred multiple dislocations phalanges toes, and they are combined to form fractures, then immobilization will be conducted using a plaster cast, to boot the like, wherein the term immobilization itself will depend directly on how many dislocated fingers (in and an average of one to three weeks).

Full restoration of disability occurs in about the third or fourth week after the procedure reposition of dislocation.

In the case of the chronic dislocation of the thumb there is a need for immediate surgery. In the case of the operation, about two or three weeks there is a satisfactory recovery of the desired range of motion in the affected joint.

If after an injury took too much time, even if the implementation of open reduction of dislocation will not always give a positive result. In such cases, there is a need for resection of the base of the proximal phalanx.

This will continue to be imposed special skeletal traction by means of the tire to have been fixed constriction of soft tissues, as well as create the correct diastasis between the head of the metatarsal bones and phalanges of the resected portion of the base, recovering the correct position of the damaged finger.

To date, one of the most effective and common treatments dislocation toe is just a conservative. After reduction of dislocation is completed, using Adhesive bandages becomes possible to obtain not only favorable functional and anatomic findings.

All patients who had held unsuccessful closed reduction, as well as the presence of chronic dislocations of phalanxes of toes, is assigned to conduct surgery.