Lateral Collateral Ligament Reconstruction Using Suture-tape for Chronic Varus Metatarsophalangeal Instability of The Hallux
| Autor: | Kyung-Jei Woo, Byung-Ki Cho |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Subluxation
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Magnetic resonance imaging Physical examination medicine.disease Hallux varus Surgery medicine.anatomical_structure Suture (anatomy) medicine Ligament Orthopedics and Sports Medicine Local anesthesia Splint (medicine) business human activities |
| Zdroj: | The Journal of Foot and Ankle Surgery. 59:1062-1065 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2020.02.009 |
| Popis: | Chronic varus instability or recurrent subluxation following isolated metatarsophalangeal dislocation of the hallux is a rare injury. A young Judo athlete with a history of repetitive sport injuries complained of recurrent medial dislocation of the hallux for 3 years. For prior injuries, he underwent manual reduction under local anesthesia and recovered with splint immobilization. Physical examination and fluoroscopic radiograph demonstrated the reducible but unstable first metatarsophalangeal joint to slight varus stress, and magnetic resonance imaging revealed an insufficient remnant of the lateral collateral ligament. For patients with the failed conservative treatment, no consensus has been reached regarding the best joint-salvage procedure to achieve a restoration of metatarsophalangeal stability and a fast return to sport activity. We report a case who achieved satisfactory clinical outcome through the collateral ligament reconstruction using a suture-tape. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect