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Case: We present a rare case of a 26-year-old woman with double checkrein deformity involving both the extensor and flexor tendons, secondary to compartment syndrome. The patient experienced hallux and lesser toe deformities, limiting mobility and causing painful callosities. Surgical correction involved the flexor hallucis longus tenotomy and the extensor hallucis longus and extensor digitorum longus tendon lengthening, leading to significant functional improvement and resolution of symptoms at 2-year follow-up.
Conclusion: This case emphasizes the importance of recognizing double checkrein deformity, a rare condition involving both flexor and extensor tendons, to ensure appropriate diagnosis and optimal treatment outcomes.
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http://dx.doi.org/10.2106/JBJS.CC.24.00593 | DOI Listing |
JBJS Case Connect
April 2025
Department of Rheumatology, JCHO Yugawara Hospital, Kanagawa, Japan.
Case: We present a rare case of a 26-year-old woman with double checkrein deformity involving both the extensor and flexor tendons, secondary to compartment syndrome. The patient experienced hallux and lesser toe deformities, limiting mobility and causing painful callosities. Surgical correction involved the flexor hallucis longus tenotomy and the extensor hallucis longus and extensor digitorum longus tendon lengthening, leading to significant functional improvement and resolution of symptoms at 2-year follow-up.
View Article and Find Full Text PDFActa Orthop Traumatol Turc
July 2024
Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Checkrein deformity of the hallux is commonly characterized by rigid flexion of the interphalangeal joint in ankle dorsiflexion but with flexibility in ankle plantarflexion which can be named as flexion checkrein deformity and as rare condition, extension checkrein deformity, characterized by rigid extension of the first metatarsophalangeal joint in ankle plantarflexion and flexibility in ankle dorsiflexion, has been reported. However, there has not reported coexistence of flexion and extension checkrein deformity. The patient, a 27-year-old male, was referred to our department 3 years after tibial and fibular fractures which was treated by open reduction and internal fixation at a previous hospital.
View Article and Find Full Text PDFArthroscopy
March 2022
Blackpool Teaching Hospitals, National Health Service Foundation Trust, Blackpool, UK; and the School of Medicine, University of Central Lancashire, Preston, UK.
A large Hill-Sachs lesion that engages the glenoid rim and predisposes to recurrent anterior instability confers a substantial management challenge. Arthroscopic remplissage, either in isolation or combined with anterior labral repair, gives the arthroscopic surgeon a tool to stabilize the shoulder without reverting to more extensive open procedures or bone block reconstructions. In arthroscopic remplissage, the posterior capsule and infraspinatus are sutured into the humeral defect to limit such engagement between the HilleSachs lesion and the glenoid rim.
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