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Hallux hammer toe secondary to pseudomonas osteomyelitis
L A Lavery1, K Haase, S M Krych
1Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776.
Journal of the American Podiatric Medical Association
|November 1, 1991
Summary
Hallux hammer toe can develop after treating hallux sesamoidal osteomyelitis from puncture wounds. Surgical removal of infected sesamoid bones may lead to this complication.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
Background:
- Hallux sesamoidal osteomyelitis is a serious infection of the bones in the forefoot.
- Puncture wounds are a common cause of osteomyelitis, particularly in the foot.
- Hallux hammer toe is a deformity affecting the big toe.
Observation:
- Two cases of hallux hammer toe developed after treatment for hallux sesamoidal osteomyelitis.
- Both patients had Pseudomonas osteomyelitis following puncture wounds to the first metatarsophalangeal joint.
- Surgical intervention, including sesamoid bone removal, was part of the treatment.
Findings:
- Hallux hammer toe is a potential secondary complication following surgical treatment of hallux sesamoidal osteomyelitis.
- Pseudomonas species can cause severe osteomyelitis after foot puncture wounds.
- Sesamoidectomy may contribute to the development of hallux hammer toe deformity.
Implications:
- Clinicians should be aware of the risk of hallux hammer toe after treating hallux sesamoidal osteomyelitis.
- Further research may be needed to optimize surgical techniques and prevent post-treatment deformities.
- Understanding this complication can improve patient counseling and management strategies for foot infections.