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1: Arch Orthop Trauma Surg. 2004 Oct;124(8):568-70. Epub 2004 Jul 29.Click here to read Links

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

Ozkoç G, Hersekli MA, Akpinar S, Ozalay M, Cesur N, Uysal M, Tandoğan RN.

Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey. gurkanozkoc@hotmail.com

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.

PMID: 15480716 [PubMed - indexed for MEDLINE]