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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Hallux valgus interphalangeus deformity: A case series in the pediatric population
Brian Grawe1, Shital Parikh, Alvin Crawford
1Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, PO Box 670212, 231 Albert Sabin Way, Cincinnati, OH 45267-0212, USA. grawebn@ucmail.uc.edu
Purpose:
The objective of this report is to describe three cases (four feet) of hallux valgus interphalangeus deformity in the pediatric population.
Methods:
A retrospective review was completed to identify three patients (four feet) with a deformity consistent with hallux valgus interphalangeus. Patients were followed at regular intervals for a minimum of 6 months. Treatment modalities and clinical results were reviewed for all patients for this relatively rare entity in the skeletally immature population.
Results:
All patients in this report had a deformity that was not consistent with a traumatic etiology. Case number 1 had a significantly symptomatic deformity that failed conservative treatment, and eventually necessitated full surgical correction of the deformity. Symptom free unrestricted activity was obtained post-operatively, however final follow-up radiographs have demonstrated early changes consistent with arthritis. Case numbers 2 & 3 were relatively asymptomatic throughout their course of treatment, and responded well to non-operative intervention.
Conclusion:
Based on these findings excision of the exostosis and soft-tissue realignment appears to be a reliable option for symptom relief for patients who present with a painful symptomatic hallux valgus interphalangeus deformity. However, the risk of degenerative changes following spur removal must be entertained prior to the procedure. On the contrary a pain free deformity that does not impact functionality of toe, or impair shoe ware may be treated successfully with conservative measures.
