Varus instability of the hallux interphalangeal joint in a taekwondo athlete

Gong, Hyun Sik; Kim, Yeun Ho; Park, Moon Seok

doi:10.1136/bjsm.2007.035501

Cited by 14 publications

(3 citation statements)

References 9 publications

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“…17 The hallux interphalangeal joint is considered more stable in the transverse plane than the metatarsophalangeal joint, not only because of its firm collateral ligaments and joint capsule but also because of the bicondylar shape of the joint, the short lever arm of the distal phalanx, and its thickened fibrocartilaginous plantar plate. 18 Shimizu et al attempted to fix the osteochondral fragment associated with HVIP in his previous report, owing to the instability at the fracture site that affected the interphalangeal joint. 15 In this patient, we decided to remove the ossicle prior to osteotomy through an additional lateral incision by concomitantly releasing the lateral capsule and collateral ligament to facilitate realignment of the valgus joint, similar to lateral capsulotomy in hallux valgus surgery.…”

Section: Discussionmentioning

confidence: 99%

Hallux Valgus Interphalangeus with Large Ossicle Formation: A Case Report

Primadhi¹,

Aditya²,

Hidajat³

2023

ORR

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Hallux valgus interphalangeus (HVIP) is a deviation of the distal phalanx in relation to the proximal phalanx. Its etiology is considered multifactorial, including growth development disturbances, external pressure, and biomechanical alteration involving the interphalangeal joint. Here, we report a case of HVIP with the presence of a large ossicle at the lateral side, which was considered related to HVIP development. A 21-year-old woman presented HVIP that had developed since childhood. She complained of pain in her right great toe that worsened in the previous several months, particularly when walking and wearing shoes. Surgical correction consisted of Akin osteotomy, fixation with headless screw, ossicle excision, and medial capsulorrhaphy. The interphalangeal joint angle was improved from 28.69⁰ pre-operatively to 8.93⁰ post-operatively. The wound healed uneventfully and the patient was satisfied. Akin osteotomy with concomitant ossicle excision was effective in this case. Gaining more knowledge regarding ossicles around the foot will provide a better understanding of deformity correction, especially from the biomechanical standpoint.

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Section: Discussionmentioning

confidence: 99%

Hallux Valgus Interphalangeus with Large Ossicle Formation: A Case Report

Primadhi¹,

Aditya²,

Hidajat³

2023

ORR

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“…[1][2][3][4][5] Hyperflexion injuries to the dorsal capsule, known as "sand toe," are reported in beach volleyball players. 6 Both open [7][8][9] and closed [10][11][12][13][14] lateral collateral ligament injuries have occurred in taekwondo as well as combat training, 7 soccer, 14 and basketball. 13 Despite many studies outlining the detailed anatomy, conservative management of MTP-1 injuries has been nonspecific.…”

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confidence: 99%

The Utility of Ultrasound in the Evaluation of Traumatic Hallux Valgus

Fultz¹,

Luetmer²,

Onishi³

2022

Am J Phys Med Rehabil

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Isolated disruption of the medial collateral ligament of the great toe is rare and often misdiagnosed as turf toe. It may progress to acquired traumatic hallux valgus, often requiring operative intervention and a longer return to play. This case of a grade II medial collateral ligament injury highlights the importance of a thorough physical examination and consideration of the mechanism of injury. It demonstrates the utility of diagnostic musculoskeletal ultrasound in establishing a specific diagnosis upon initial patient presentation with great toe pain. It is an example of the use of ultrasound in guiding treatment and monitoring interval healing. In this case, differentiation of the injury from the classic “turf toe” led to proper stabilization with a toe spacer and activity modification, thus preventing progression of traumatic hallux valgus and leading to successful nonoperative treatment with full return to sport.Level of EvidenceLevel V

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“…The capsule is in continuity with the collateral ligaments, completely encircles the joint, and thickens on the plantar surface as the fibrocartilaginous plantar plate. 1 , 2 A bony or cartilaginous sesamoid bone can occur at the plantar aspect of the IPJ of the great toe in 72% of white persons and embeds within the joint capsule. 3 …”

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confidence: 99%

Arthroscopic Synovectomy of the Interphalangeal Joint of the Great Toe

Lee¹,

Lui²

2018

Arthroscopy Techniques

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Synovitis of the interphalangeal joint of the great toe can occur in patients with rheumatoid arthritis, seronegative arthritides, or gouty arthritis or after a penetrating injury to the joint. Complete synovectomy of the joint usually requires a lengthy incision and extensive soft-tissue dissection. The purpose of this Technical Note is to describe the surgical details of arthroscopic synovectomy of the hallucal interphalangeal joint, which can reduce the surgical trauma.

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Varus instability of the hallux interphalangeal joint in a taekwondo athlete

Cited by 14 publications

References 9 publications

Hallux Valgus Interphalangeus with Large Ossicle Formation: A Case Report

Hallux Valgus Interphalangeus with Large Ossicle Formation: A Case Report

The Utility of Ultrasound in the Evaluation of Traumatic Hallux Valgus

Arthroscopic Synovectomy of the Interphalangeal Joint of the Great Toe

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