Adolescent Hallux Valgus Deformity with Bilateral Absence of the Hallucal Sesamoids: A Case Report

2012 ◽  
Vol 51 (1) ◽  
pp. 80-82 ◽  
Author(s):  
Sattar Alshryda ◽  
Thai Lou ◽  
Edwin R. Faulconer ◽  
Akinwande O. Adedapo
2017 ◽  
Vol 10 (6) ◽  
pp. 567-571
Author(s):  
Toshinori Kurashige ◽  
Seiichi Suzuki

Coalition of the hallux sesamoids is an extremely rare condition. To our knowledge, only 1 case report has been published. We report a case of severe hallux valgus deformities with coalitions of the hallux sesamoids. The coalitions themselves were asymptomatic; however, this severe hallux valgus deformity needed to be surgically treated. The hallux sesamoids in both feet appeared to be fused and heart shaped on anteroposterior radiographs and dumbbell shaped on axial radiographs. It is known that postoperative incomplete reduction of the medial sesamoids can be a risk factor for the recurrence of hallux valgus. The computed tomography scan demonstrated a groove in the bottom of the center of the heart-shaped sesamoid. The flexor hallucis longus tendon was located in the groove. Therefore, a modified Lapidus procedure was performed considering the medial half of the heart-shaped sesamoid as the medial sesamoid. Although delayed union occurred, successful correction of the deformity was achieved. Levels of Evidence: Level IV


2018 ◽  
Vol 25 (1) ◽  
pp. 24-28
Author(s):  
Daniel Y. Wu

It has been believed that the correction of metatarsus primus varus (MPV) deformity of hallux valgus foot using nonosteotomy procedures would be compromised by the presence of os intermetatarseum (OI). Therefore, no soft tissue procedure has ever been reported for the correction of MPV deformity of hallux valgus foot. This is a case report of a female patient with bilateral hallux valgus deformity and also a large OI of her left foot that was corrected, satisfactorily and simultaneously, with a soft tissue technique called syndesmosis procedure, without osteotomy or OI resection. Excellent feet function was observed for 2 years until her last follow-up examination without any symptoms or signs of problems relating to the OI in her left foot. This case report demonstrated for the first time that OI may not interfere with proper MPV deformity correction because it can be preexisting and X-ray can be misleading.


2016 ◽  
Vol 28 (5) ◽  
pp. 890-892
Author(s):  
Makoto Hirao ◽  
Yukio Hirai ◽  
Kosuke Ebina ◽  
Kenrin Shi ◽  
Takaaki Noguchi ◽  
...  

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