Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 8/2004

01-10-2004 | Case Report

Iatrogenic medial dislocation of hallucal sesamoids with hallux varus in an adolescent

Authors: Gürkan Özkoç, Murat Ali Hersekli, Sercan Akpınar, Metin Özalay, Necip Cesur, Mustafa Uysal, Reha N. Tandoğan

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2004

Login to get access

Abstract

Background

Iatrogenic hallux varus is a rare deformity linked to bunion surgery at late adult age. Here reported is the first adolescent case of acquired hallux varus and medial dislocation of both sesamoid bones.

Case Report

The patient had had a surgical intervention under his first metatarsophalangeal joint when he was 10 years old. Correction of the deformity with a tendon transfer and medial capsular release alone—as was recommended for adults—was impossible in this adolescent, 8 years after the index surgery. Excision of the contracted medial structures and repair of the lateral retinaculum of the fibular sesamoid obtained a perfect correction of the dislocated sesamoid bones.
Literature
1.
go back to reference Goldman FD, Siegel J, Barton E (1993) Extensor hallucis longus tendon transfer for correction of hallux varus. J Foot Ankle Surg 32:126–131PubMed Goldman FD, Siegel J, Barton E (1993) Extensor hallucis longus tendon transfer for correction of hallux varus. J Foot Ankle Surg 32:126–131PubMed
2.
go back to reference Hansen CE (1974) Hallux valgus treated by the McBride operation. A follow-up. Acta Orthop Scand 45:778–792PubMed Hansen CE (1974) Hallux valgus treated by the McBride operation. A follow-up. Acta Orthop Scand 45:778–792PubMed
3.
go back to reference Hawkins FB (1971) Acquired hallux varus: cause, prevention and correction. Clin Orthop 76:169–176PubMed Hawkins FB (1971) Acquired hallux varus: cause, prevention and correction. Clin Orthop 76:169–176PubMed
4.
go back to reference Hunter WN, Wasiak GA (1984) Traumatic hallux varus correction via split extensor tenodesis. J Foot Surg 23:321–325PubMed Hunter WN, Wasiak GA (1984) Traumatic hallux varus correction via split extensor tenodesis. J Foot Surg 23:321–325PubMed
5.
go back to reference Janis LR, Donick II (1975) The etiology of hallux varus: A review. J Am Podiatry Assoc 65:233–237PubMed Janis LR, Donick II (1975) The etiology of hallux varus: A review. J Am Podiatry Assoc 65:233–237PubMed
6.
go back to reference Johnson KA, Spiegl PV (1984) Extensor hallucis longus transfer for hallux varus deformity. J Bone Joint Surg Am 66:681–686PubMed Johnson KA, Spiegl PV (1984) Extensor hallucis longus transfer for hallux varus deformity. J Bone Joint Surg Am 66:681–686PubMed
7.
go back to reference Katz JB (1990) Correction of hallux varus via split tendon transfer. J Am Podiatr Med Assoc 80:498–501PubMed Katz JB (1990) Correction of hallux varus via split tendon transfer. J Am Podiatr Med Assoc 80:498–501PubMed
8.
go back to reference Maynou C, Beltrand E, Podglajen J, Elise S, Mestdagh H (2000) [Tendon transfers in postoperative hallux varus. Apropos of 12 cases]. Rev Chir Orthop Reparatrice Appar Mot 86:181–187PubMed Maynou C, Beltrand E, Podglajen J, Elise S, Mestdagh H (2000) [Tendon transfers in postoperative hallux varus. Apropos of 12 cases]. Rev Chir Orthop Reparatrice Appar Mot 86:181–187PubMed
9.
go back to reference Myerson MS, Komenda GA (1996) Results of hallux varus correction using an extensor hallucis brevis tenodesis. Foot Ankle Int 17:21–27PubMed Myerson MS, Komenda GA (1996) Results of hallux varus correction using an extensor hallucis brevis tenodesis. Foot Ankle Int 17:21–27PubMed
10.
go back to reference Pfeffinger LL (1990) The modified McBride procedure. Orthopedics 13:979–984PubMed Pfeffinger LL (1990) The modified McBride procedure. Orthopedics 13:979–984PubMed
11.
go back to reference Skalley TC, Myerson MS (1994) The operative treatment of acquired hallux varus. Clin Orthop 183–191 Skalley TC, Myerson MS (1994) The operative treatment of acquired hallux varus. Clin Orthop 183–191
12.
go back to reference Turner RS (1986) Dynamic post-surgical hallux varus after lateral sesamoidectomy: treatment and prevention. Orthopedics 9:963–969PubMed Turner RS (1986) Dynamic post-surgical hallux varus after lateral sesamoidectomy: treatment and prevention. Orthopedics 9:963–969PubMed
Metadata
Title
Iatrogenic medial dislocation of hallucal sesamoids with hallux varus in an adolescent
Authors
Gürkan Özkoç
Murat Ali Hersekli
Sercan Akpınar
Metin Özalay
Necip Cesur
Mustafa Uysal
Reha N. Tandoğan
Publication date
01-10-2004
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 8/2004
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-004-0719-9

Other articles of this Issue 8/2004

Archives of Orthopaedic and Trauma Surgery 8/2004 Go to the issue