Cavus deformity of the foot after fracture of the tibial shaft

Karlström, Gunnar; Lönnerholm, Torsten; Olerud, S

doi:10.2106/00004623-197557070-00003

Cited by 45 publications

(12 citation statements)

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“…5,[7][8][9] The need for prompt diagnosis and fasciotomy in the acute case has been well accepted, 5,10-12 although little has been written of the late complications of minor or borderline compartment syndrome. 2 Our patients, however, pose a problem as to aetiology, because in nine of the ten there was no clinical compartment syndrome. One explanation could be that they had developed a subclinical compartment syndrome, which is hypothetical and has not yet been reported in the literature.…”

Section: Discussionmentioning

confidence: 67%

“…1 In a similar manner a contracture of tibialis posterior may cause pes cavus. 2 If clawing develops after injury without an overt compartment syndrome, the implication is that either there has been a subclinical deep compartment syndrome, or that the muscle bellies of the tendons have been injured or trapped at the site of the fracture or scarred after a local haematoma. If tibialis posterior is not affected, the aetiology is more likely to be due to causes other than a compartment syndrome.…”

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confidence: 99%

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Selective lengthening of the proximal flexor tendon in the management of acquired claw toes

Feeney

Williams

Stephens

2001

The Journal of Bone and Joint Surgery

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We report the management of the acquired claw-toe deformity in ten adults. Each patient developed a varying number of claw toes at a mean interval of six months after the time of injury. There was clinical evidence of an acute compartment syndrome in one case. The clawing occurred at the start of heel-rise in the stance phase of gait. At this stage the patients complained of increasing pain and pressure on the tips of the toes. The deformities were corrected by lengthening flexor hallucis longus and flexor digitorum longus alone or in combination. The presence of variable intertendinous digitations between the tendons of flexor hallucis longus and flexor digitorum longus means that in some cases release of flexor hallucis longus alone may correct clawing of lesser toes.

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Section: Discussionmentioning

confidence: 67%

mentioning

confidence: 99%

Selective lengthening of the proximal flexor tendon in the management of acquired claw toes

Feeney

Williams

Stephens

2001

The Journal of Bone and Joint Surgery

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“…25,28 The goal of reconstruction of the foot is to restore a functional and minimally painful plantigrade foot. The contracture is treated once the deforming forces and scarred muscles have been studied.…”

Section: Late Techniquesmentioning

confidence: 99%

“…Foot compartments connect between the calcaneal compartment and the deep posterior compartment of the leg. 25,26 Foot compartments should be released to prevent the development of leg compartment syndrome. 26 Some physicians argue that isolated acute foot compartment syndrome should be observed and a late reconstruction performed if necessary.…”

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confidence: 99%

Reconstruction of the Foot After Leg or Foot Compartment Syndrome

Perry

Manoli

2012

Critical Care Nursing Clinics of North America

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“…Acquired clawing of the toes can also occur after compartment syndrome of the deep posterior muscles of the leg, which produces a fixed length phenomenon of the long flexors of the toes. If the tibialis posterior is affected, its contracture may cause pes cavus deformity [4].…”

Section: Introductionmentioning

confidence: 99%

Claw toes after tibial fracture in children

Fitoussi

Ilharreborde

Guérin

et al. 2009

Journal of Children's Orthopaedics

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Purpose The development of claw toe deformity following fracture of the tibia in children has not been described in our review of the literature. We report on the management of the acquired claw toe deformity after tibia fracture in five children. Methods We report on five patients, between 5 and 15 years of age, who developed clawing of the hallux following a fracture of the tibia. In two patients, the lesser toes were involved. On examination, when the ankle was passively plantar flexed, a flexion contracture of the interphalangeal joint of the hallux became fully flexible. When the ankle was dorsiflexed, the clawing became more obvious and fixed. A magnetic resonance imaging (MRI) study in two cases demonstrated fibrosis under or just proximal to the tarsal tunnel. Results The contractures were relieved by performing a tenolysis proximal to the medial malleolus. The operative findings demonstrated that the etiology could be possibly associated with a localized subclinical compartment syndrome. Conclusions We described five patients with a claw toe deformity following a tibia fracture associated with adhesions of the flexor hallucis longus (FHL) and flexor digitorum longus (FDL) muscles to the surrounding structures under or just proximal to the flexor retinaculum. It is the authors' opinion that this condition may be related to a subclinical compartment syndrome localized in the distal part of the deep posterior compartment. Soft-tissue release without tendon lengthening allowed recovery in all patients.

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Cavus deformity of the foot after fracture of the tibial shaft

Cited by 45 publications

References 0 publications

Selective lengthening of the proximal flexor tendon in the management of acquired claw toes

Selective lengthening of the proximal flexor tendon in the management of acquired claw toes

Reconstruction of the Foot After Leg or Foot Compartment Syndrome

Claw toes after tibial fracture in children

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