Irreducible Fracture of the Proximal Interphalangeal Joint of the Fifth Toe

BACKGROUND: Interphalangeal joint dislocations of toes are relatively rare and can generally be treated by closed reduction. OBJECTIVES: This case presentation intends to emphasize that irreducible lesser toe fractures may represent significant injuries. The minimal external injury and the infrequent presentation of these injuries entail the risk of remaining undiagnosed. CASE REPORT: We present a case of a persistent proximal interphalangeal joint fracture-dislocation of the fifth toe. Open reduction was performed because closed reduction remained unsuccessful as a result of interposition of both the flexor tendon and the volar plate into the fracture line. CONCLUSIONS: Even such a minor trauma as a lesser toe injury deserves thorough physical examination, and when indicated on radiological imaging, as significant injuries can easily be overlooked