Joint Salvage After Neglected Intra-Articular Physeal Fracture of the Hallux in High-Level Gymnasts

Chronic sports-related injuries involving the hallux are well known in adult populations. However, they are less frequently described in adolescents. We present 2 cases of elite-level gymnasts with neglected Salter–Harris IV fractures involving the proximal phalanx of the great toe following a sever...

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Bibliographic Details
Published in:Foot and ankle specialist 2015-04, Vol.8 (2), p.130-134
Main Authors: Bariteau, Jason T., Murillo, Diana Montoya, Tenenbaum, Shay A., Brodsky, James W.
Format: Article
Language:English
Subjects:
Adolescent
Athletic Injuries - diagnostic imaging
Athletic Injuries - surgery
Child
Female
Fracture Fixation, Internal - methods
Hallux - diagnostic imaging
Hallux - injuries
Hallux - surgery
Humans
Intra-Articular Fractures - diagnostic imaging
Intra-Articular Fractures - surgery
Metatarsophalangeal Joint - injuries
Metatarsophalangeal Joint - surgery
Radiography
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Summary:Chronic sports-related injuries involving the hallux are well known in adult populations. However, they are less frequently described in adolescents. We present 2 cases of elite-level gymnasts with neglected Salter–Harris IV fractures involving the proximal phalanx of the great toe following a severe hyperextension injury to the metatarsophalangeal joint. Both were successfully treated with open reduction and internal fixation with return to pre-injury level of activity, improvement in outcome scores, and demonstration of no disability from injury 2 years after surgical intervention. Levels of Evidence: Therapeutic, Level IV: Case Series
ISSN:1938-6400
1938-7636
DOI:10.1177/1938640014543359