Surgical Correction of Checkrein Deformity after Malunited Distal Tibia Fracture: A Case Report

Abstract Checkrein deformities are rare and involve entrapment or tethering of the flexor hallucis longus and, occasionally, flexor digitorum longus tendons. The deformity has typically been secondary to traumatic fractures of the talus, calcaneus, or deep posterior compartment syndrome resulting fr...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2014-09, Vol.53 (5), p.631-634
Main Authors: Holcomb, Timothy M., DPM, AACFAS, Temple, Eric W., DPM, Barp, Eric A., DPM, FACFAS, Smith, Hayden L., PhD
Format: Article
Language:English
Subjects:
ankle fracture
Arthrodesis
Contracture - etiology
Contracture - surgery
flexor hallucis longus adhesions
Foot Deformities, Acquired - diagnostic imaging
Foot Deformities, Acquired - etiology
Foot Deformities, Acquired - surgery
Fractures, Malunited - complications
Hallux
Hammer Toe Syndrome - diagnostic imaging
Hammer Toe Syndrome - etiology
Hammer Toe Syndrome - surgery
hammertoes
Humans
Joint Dislocations - diagnostic imaging
Joint Dislocations - surgery
Male
Orthopedics
Radiography
tendinous adhesions
Tendon Injuries - etiology
Tendon Injuries - surgery
Tenotomy
Tibial Fractures - complications
Toe Joint - diagnostic imaging
Toe Joint - surgery
Young Adult
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Summary:Abstract Checkrein deformities are rare and involve entrapment or tethering of the flexor hallucis longus and, occasionally, flexor digitorum longus tendons. The deformity has typically been secondary to traumatic fractures of the talus, calcaneus, or deep posterior compartment syndrome resulting from fractures of the tibia and fibula and most fractures of the ankle. These result in flexion contractures at the interphalangeal joint of the hallux. Because of the rarity of this deformity, no single surgical technique has been defined as the standard. Previous interventions have included release of adhesions with or without Z-plasty lengthening of the involved tendons. The present study reports a case of checkrein deformity secondary to a malunited distal tibia fracture, with flexion deformities to digits 1 through 3. The patient underwent successful surgical correction with flexor tenotomies to the affected digits with interphalangeal arthrodesis to the hallux.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2014.04.028