Simultaneous dislocation of the shoulder and contralateral hallux interphalangeal joint: a case report emphasizing the necessity of comprehensive examination
DOI:
https://doi.org/10.2478/AMB-2025-0016Keywords:
simultaneous dislocation, shoulder , great toe , thorough examinationAbstract
When diagnosing trauma patients, it is crucial to perform a meticulous clinical examination to avoid missing any underlying injuries. A thorough assessment of the patient is essential as more severe injuries can sometimes obscure others. This report describes an exceptionally rare case involving simultaneous shoulder and contralateral hallux dislocation. The goal is to emphasize the importance of comprehensive evaluation in patients with trauma suggestive of multiple injuries. Herein, we report an extremely rare and complex injury in a male patient in his 40’s who presented with simultaneous dislocation of the shoulder and the contralateral interphalangeal joint of the hallux after a fall from a height of 3 meters. The patient was admitted to the emergency department with severe pain and a deformed right shoulder and contralateral great toe. The shoulder was repositioned under anesthesia, and the fi rst interphalangeal joint was manually repositioned. This case highlights the critical role of a thorough examination in trauma patients to avoid overlooking subtle injuries and ensure appropriate treatment.
References
Cobanoğlu M, Yumrukcal F, Karataş C, et al. Simultaneous shoulder and elbow dislocation. BMJ Case Rep, 2014:bcr2014204686.
Özdemir E, Evren AT, Özer M, et al. Percutaneous reduction of irreducible dislocation of the interphalangeal joint of the hallux: A simple technique for a rare injury. Jt Dis Relat Surg, 2020, 31(3):610-613.
Miki T, Yamamuro T, Kitai T. An irreducible dislocation of the great toe. Report of two cases and review of the literature. Clin Orthop Relat Res, 1988;(230):200-206.
Imao K, Miwa H, Watanabe K, et al. Dorsal-approach open reduction for irreducible dislocation of the hallux interphalangeal joint: A case series. Int J Surg Case Rep, 2018, 53:316-321.
Szyluk K, Niemiec P, Sieroń D, et al. Shoulder dislocation incidence and risk factors—rural vs. urban populations of Poland. Int J Environ Res Public Health, 2022, 19(19):11857.
Utkan A, Ağar A, Fakıoğlu RC, et al. Ipsilateral simultaneous inferior shoulder dislocation and posterior elbow dislocation: A case report. Jt Dis Relat Surg, 2020, 31(3):614-618.
Meena S, Saini P, Singh V, et al. Bilateral anterior shoulder dislocation. J Nat Sci Biol Med, 2013, 4(2):499-501.
Alkaduhimi H, van der Linde JA, Flipsen M, et al. A systematic and technical guide on how to reduce a shoulder dislocation. Turk J Emerg Med, 2016, 16(4):155-168.
Leung HB, Wong WC. Irreducible dislocation of the hallucal interphalangeal joint. Hong Kong Med J, 2002, 8(4):295-299.
Yasuda T, Fujio K, Tamura K. Irreducible dorsal dislocation of the interphalangeal joint of the great toe: report of two cases. Foot Ankle, 1990, 10(6):331-336.
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Copyright (c) 2025 S. Rangelov, L. Gaydarski, B. Lanzov, G. P. Georgiev (Author)

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