Checkrein deformity treated through a forefoot approach

Miranda, Bruno Rodrigues de; Barroco, Rui dos Santos; Nishikawa, Danilo Ryuko Cândido; Oliveira, Leticia Zaccaria Prates de; Ghani, Mahmoud Beerens Abdul Ghani Abdul

doi:10.30795/scijfootankle.2019.v13.1105

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…(14) There are various surgical options for correcting the deformity, such as extending the FHL tendon at midfoot on the site of the Henry knot. (1,11) The cause in the present case was a trivial injury, namely a contusion, which resulted in progressive plantarflexion (clawing) of the right great toe and second toe, and progressed into scarring followed by fibrosis and adhesion, thus presumably further leading to a loss of tendon elasticity requiring surgical intervention.…”

Section: Discussionmentioning

confidence: 71%

“…The intimate relationship between the Henry knot and the plantar neurovascular branches also makes the foot undergoing this method equally prone to neurovascular damage. (11) However, in this patient, release of the flexor retinaculum and a Z-plasty (lengthening) of FDL and FHL were performed through the medial retromalleolar approach. The procedures were performed upon finding a swelling on the medial retromalleolar side of the right ankle during the physical examination.…”

Section: Introductionmentioning

confidence: 98%

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Release of retromalleolar flexor retinaculum and combined flexor digitorum longus and flexor hallucis longus Z-plasty in checkrein deformity: a case report

Irianto,

Leonarto,

Handoyo

2023

Univ Med

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BackgroundCheckrein deformity is a rare abnormality comprising flexor hallucis longus (FHL) tendon entrapment in the posterior foot due to post-traumatic or ischemic retraction of the FHLtendon following soft tissue trauma. The diagnosis is essentially clinical, but complemented by imaging to rule out unrecognized causes and evaluate the fracture healing process. This case report is the first Indonesian study to describe release of the flexor retinaculum and Z-plasty (lengthening) of flexor digitorum longus (FDL) and FHL tendons through a medial retromalleolar approach to repair the deformity. Case DescriptionWe present the case of a 51-year-old male who complained of clawing of his right first and second toes. The interest of this study lies in the fact that this patient had never experienced ankle or distal tibial fractures, only a trivial injury two years back when the patient kicked a stone at work and had a bruise on his right second toe with no fracture. Exploration of FHL tendons was performed at the level of the midfoot. The patient was planned for surgery with a medial retromalleolar ankle approach, which facilitates the release of the flexor retinaculum, in conjunction with a Z-tenotomy on the FHL and FDL tendons. ConclusionA correction was achieved, and two months post-surgery there were no recurrences of the deformity. However, this surgical procedure requires more cases to support an evaluation of its effectiveness. We suggest that exploration at the ankle and midfoot should be the primary surgical intervention in similar cases of checkrein deformity.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 98%

Release of retromalleolar flexor retinaculum and combined flexor digitorum longus and flexor hallucis longus Z-plasty in checkrein deformity: a case report

Irianto,

Leonarto,

Handoyo

2023

Univ Med

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“…There were no recurrences, and no differences were observed in final outcomes between the 2 approaches. Other authors have published good outcomes with the plantar midfoot approach (8,13) . Conversely, there is no clear evidence on the outcomes with distal approach.…”

Section: Discussionmentioning

confidence: 98%

Post-traumatic digital flexion contracture (checkrein deformity)

et al. 2021

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Objective: The aim of this study is to present a series of 8 patients, describing their clinical picture and assessing their treatment using plantar approach. Methods: We retrospectively assessed 8 patients, all of which had a history of trauma. The clinical characteristics of these cases and postoperative results were investigated. Results: Seven men and 1 woman with a mean age of 29 years were included. The follow-up period ranged from 6 to 28 months (mean 22 months). The deformity manifested from 5 to 24 months after the triggering injuries (mean 9.8 months). The hallux was the only digit affected in 1 patient, while the others presented with involvement of 1 or more small toes. There were no postoperative complications, and patients showed to be satisfied with functional outcomes. Conclusion: Post-traumatic digital flexion contracture is an infrequent disease of unknown etiology. Lengthening of the flexor hallucis longus using a plantar approach, whether at the level of the midfoot or the toe, represents an alternative with satisfactory outcomes. Level of Evidence IV; Therapeutic Study; Case Series.

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Checkrein deformity treated through a forefoot approach

Cited by 2 publications

References 8 publications

Release of retromalleolar flexor retinaculum and combined flexor digitorum longus and flexor hallucis longus Z-plasty in checkrein deformity: a case report

Release of retromalleolar flexor retinaculum and combined flexor digitorum longus and flexor hallucis longus Z-plasty in checkrein deformity: a case report

Post-traumatic digital flexion contracture (checkrein deformity)

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