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

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Abstract

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.

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey

    Gürkan Özkoç, Murat Ali Hersekli, Sercan Akpınar, Metin Özalay, Necip Cesur & Mustafa Uysal

  2. Department of Orthopedics and Traumatology, Baskent University School of Medicine, Ankara, Turkey

    Reha N. Tandoğan

  3. Başkent Üniversitesi Tıp Fakültesi, Adana Uygulama ve Araştırma Merkezi, Dadaloğlu Mah.39.Sok. No. 6, 01250, Yüreğir/ADANA , Turkey

    Gürkan Özkoç

Authors
  1. Gürkan Özkoç
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  2. Murat Ali Hersekli
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  3. Sercan Akpınar
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  4. Metin Özalay
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  5. Necip Cesur
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  6. Mustafa Uysal
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  7. Reha N. Tandoğan
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Correspondence to Gürkan Özkoç.

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Özkoç, G., Hersekli, M.A., Akpınar, S. et al. Iatrogenic medial dislocation of hallucal sesamoids with hallux varus in an adolescent. Arch Orthop Trauma Surg 124, 568–570 (2004). https://doi.org/10.1007/s00402-004-0719-9

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  • DOI: https://doi.org/10.1007/s00402-004-0719-9

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