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Oral and Maxillofacial Surgery

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01-09-2020 | Oral Cancer | Case Report

Checkrein deformity: a case report of two patients with hallux deformity and pain following mandibular reconstruction in oral cancer treatment

Authors: Andrea Sallent, Diego Soza, Gemma Duarri, Rosa Busquets

Published in: Oral and Maxillofacial Surgery | Issue 3/2020

Abstract

Background

Checkrein deformity is an uncommon disease with a well-described etiology. It is characterized by a dynamic deformity of the hallux or great toe. We report two cases of checkrein deformity due a fibular graft harvesting in two patients with a mandibular bone defect secondary to an oral cancer treatment.

Case report

We report two young patients with mandibular cancers that had been treated several years before our visit and were currently free of disease. The patients had a mandibular bone defect due to the maxillofacial treatment, solved with a free fibular graft. The current complaint was a great toe deformity that caused pain and made them walk with difficulties. Diagnosis was a checkrein deformity, and after a surgical release of the flexor hallucis longus tendon, both cases returned to normal activities with no walking limitations.

Conclusion

Our cases highlight that an accurate patient examination is warranted following these reconstructions as many of them can be misdiagnosed, and a relatively simple surgery can improve the patients’ limitations.

Moore SR, Johnson NW, Pierce AM, Wilson DF (2000) The epidemiology of tongue cancer: a review of global incidence. Oral Dis 6:75–84CrossRef

Shirato T, Onizawa K, Yamagata K et al (2006) Chondrosarcoma of the mandibular symphysis. Oral Oncol Extra 42:247–250. https://doi.org/10.1016/j.ooe.2006.04.002 CrossRef

Moubayed SP, L’Heureux-Lebeau B, Christopoulos A et al (2014) Osteocutaneous free flaps for mandibular reconstruction: systematic review of their frequency of use and a preliminary quality of life comparison. J Laryngol Otol 128:1034–1043. https://doi.org/10.1017/S0022215114002278 CrossRefPubMed

Nassr A, Khan MH, Ali MH et al (2009) Donor-site complications of autogenous nonvascularized fibula strut graft harvest for anterior cervical corpectomy and fusion surgery: experience with 163 consecutive cases. Spine J 9:893–898. https://doi.org/10.1016/j.spinee.2009.04.020 CrossRefPubMed

Momoh AO, Yu P, Skoracki RJ et al (2011) A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients. Plast Reconstr Surg 128:714–720. https://doi.org/10.1097/PRS.0b013e318221dc2a CrossRefPubMed

Berentey G, Tamasy S (1973) Adhesion of the tendon of the m. flexor hallucis longus following tibial fracture. Magy Traumatol Orthop Helyreallito Seb 16:161–168PubMed

Kim SH, Lee KT, Smith RW, Park YU (2010) Checkrein deformity secondary to entrapment of FHL after talus fracture: a case report. Foot Ankle Int 31:336–338. https://doi.org/10.3113/FAI.2010.0336 CrossRefPubMed

Kurashige T, Kawabata K, Suzuki S (2014) Checkrein deformity due to extensor hallucis longus hypotrophy treated with extensor digitorum longus tendon transfer. Foot Ankle Surg 20:e30–e34. https://doi.org/10.1016/j.fas.2014.02.008 CrossRefPubMed

Tanwar YS, Singh S, Arya RK et al (2016) A closed lateral subtalar dislocation with checkrein deformity of great toe due to entrapment of flexor hallucis longus: a case report. Foot Ankle Spec 9:461–464. https://doi.org/10.1177/1938640016630060 CrossRefPubMed

10.

Yuen CP, Lui TH (2015) Adhesion of flexor hallucis longus at the site of a tibial-shaft fracture - a cause of a checkrein deformity. Foot Ankle Surg 21:e23–e26. https://doi.org/10.1016/j.fas.2014.09.011 CrossRefPubMed

11.

Gadhavi MV, Majmundar DD, Solanki RA (2019) Checkrein deformity of the great toe managed by midfoot flexor hallucis longus z-plasty: a case report. J Orthop Case Rep 9:18–20. https://doi.org/10.13107/jocr.2250-0685.1350 CrossRefPubMedPubMedCentral

12.

Leitschuh PH, Zimmerman JP, Uhorchak JM et al (1995) Hallux flexion deformity secondary to entrapment of the flexor hallucis longus tendon after fibular fracture. Foot Ankle Int 16:232–235. https://doi.org/10.1177/107110079501600413 CrossRefPubMed

13.

Holcomb TM, Temple EW, Barp EA, Smith HL (2014) Surgical correction of checkrein deformity after malunited distal tibia fracture: a case report. J Foot Ankle Surg 53:631–634. https://doi.org/10.1053/j.jfas.2014.04.028 CrossRefPubMed

14.

Tudisco C, Puddu G (1984) Stenosing tenosynovitis of the flexor hallucis longus tendon in a classical ballet dancer: a case report. Am J Sports Med 12:403–404. https://doi.org/10.1177/036354658401200513 CrossRefPubMed

15.

Trepman E, Mizel MS, Newberg AH (1995) Partial rupture of the flexor hallucis longus tendon in a tennis player: a case report. Foot Ankle Int 16:227–231. https://doi.org/10.1177/107110079501600412 CrossRefPubMed

16.

Tucker HM (1989) Nonrigid reconstruction of the mandible. Arch Otolaryngol Neck Surg 115:1190–1192. https://doi.org/10.1001/archotol.1989.01860340044014 CrossRef

17.

Harris BN, Bewley AF (2016) Minimizing free flap donor-site morbidity. Curr Opin Otolaryngol Head Neck Surg 24:447–452CrossRef

18.

Ling XF, Peng X (2012) What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery. Plast Reconstr Surg 129:657–674CrossRef

19.

Liu S, Tao S, Tan J et al (2018) Long-term follow-up of fibular graft for the reconstruction of bone defects. Med (United States):97. https://doi.org/10.1097/MD.0000000000012605

20.

Maraskolhe DS, Jaiswal P, Resident J, Bhalotia AP (2018) Complications of fibular bone grafting at donor site. ~ 482. Int J Orthop Sci 4:482–484. https://doi.org/10.22271/ortho.2018.v4.i2h.73 CrossRef

21.

Sieg P, Taner C, Hakim SG, Jacobsen HC (2010) Long-term evaluation of donor site morbidity after free fibula transfer. Br J Oral Maxillofac Surg 48:267–270. https://doi.org/10.1016/j.bjoms.2009.07.019 CrossRefPubMed

22.

Veiga Sanhudo JA, Lompa PA (2002) Checkrein deformity - flexor hallucis tethering: two case reports. Foot Ankle Int 23:799–800. https://doi.org/10.1177/107110070202300904 CrossRef

23.

Lui TH (2014) Endoscopic Adhesiolysis of the flexor hallucis longus muscle. Foot Ankle Spec 7:492–494. https://doi.org/10.1177/1938640014546859 CrossRefPubMed

24.

Lee HS, Kim JS, Park SS et al (2008) Treatment of checkrein deformity of the hallux. J Bone Joint Surg (Br) 90:1055–1058. https://doi.org/10.1302/0301-620X.90B8.20563 CrossRef

Title: Checkrein deformity: a case report of two patients with hallux deformity and pain following mandibular reconstruction in oral cancer treatment
Authors: Andrea Sallent
Diego Soza
Gemma Duarri
Rosa Busquets
Publication date: 01-09-2020
Publisher: Springer Berlin Heidelberg
Keywords: Oral Cancer
Bone Defect
Oral Cavity Carcinoma
Published in: Oral and Maxillofacial Surgery / Issue 3/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-020-00852-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Checkrein deformity: a case report of two patients with hallux deformity and pain following mandibular reconstruction in oral cancer treatment

Abstract

Background

Case report

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case report

Conclusion

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