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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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Soft tissue 'mallet' injury to the hallux
Mike Jr Kent1, Claire Harding2, Sean Walsh2
1Department of Trauma and Orthopaedics, Dorset County Hospital, Dorchester, Dorset DT1 2JY, UK mikekent@doctors.org.uk.
Journal of Surgical Case Reports
|May 4, 2015
Summary
This case report details a rare delayed mallet injury to the hallux (big toe) in a teenager. Surgical repair with suture anchors and K-wire stabilization led to full functional recovery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Delayed presentation of traumatic soft tissue mallet injuries to the hallux is rare.
- Limited literature exists regarding the optimal treatment for this specific injury.
Observation:
- A teenage patient presented late with a traumatic soft tissue mallet injury affecting the distal phalanx of the hallux.
- The injury involved the extensor tendon insertion.
Findings:
- Open surgical repair was performed using a Mitek suture anchor for tendon reattachment.
- Stabilization was achieved with a 1.2-mm K-wire and an extension splint for 8 weeks.
- The patient regained full power, range of motion, and function compared to the uninjured side.
Implications:
- Surgical reconstruction using suture anchors is a viable and effective treatment for delayed hallux mallet injuries.
- Stabilization of the interphalangeal joint is crucial for successful outcomes.
- This case highlights a successful management strategy for a rare traumatic foot injury.
