A Case Report of Spontaneous Second Toe Varus Deformity Correction after Hallux Valgus Deformity Correction by a Non-osteotomy Technique: Syndesmosis Procedure

Journal of Orthopaedic Case Reports
Wu Daniel

Abstract

Crossover deformity of the first and second toes is not uncommon of a severe hallux valgus (HV) deformity. It can be corrected by adequate realignment of the hallux. However, the crossover deformity may be complicated by also a concomitant varus deformity of the second toe. Although the pathoanatomy of second toe varus deformity has been well described, its pathogenesis is still unclear. Consequently, its treatment has been mostly symptomatic and notspecific to its pathogenesis. This is a 1-year follow-up report of spontaneous correction of the second toe varus deformity after a soft tissue procedure for HV and metatarsus primus varus (MPV) deformities correction. A patient had bilateral HV and crossover deformities of her feet. She opted for a bilateral surgical treatment when conservation management failed to be helpful anymore. A soft tissue non-osteotomy technique called syndesmosis procedure was chosen for her deformities correction. Her crossover deformity was caused mainly by varus deformity of the second toe. Intraoperatively, the second toe varus deformity was found to correct itself spontaneously once the first metatarsal was realigned by a non-osteotomy intermetatarsal cerclage suture technique to correct the MPV def...Continue Reading

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