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A case of "trigger toe".

N M Newman, J V Fowles

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Triggering of the toes, a rare condition involving tendon hypertrophy, can cause pain. Surgical division of the flexor hallucis longus tendon pulley successfully treated a jogger with this condition.

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    Area of Science:

    • Orthopedic surgery
    • Sports medicine
    • Podiatry

    Background:

    • Tendon triggering, characterized by local tendon hypertrophy impeding smooth tendon movement, is infrequently reported.
    • Previous literature describes this phenomenon as largely theoretical, with only three documented cases.

    Observation:

    • A 28-year-old jogger presented with painful triggering of the great toe.
    • The triggering occurred during plantar flexion of the ankle and great toe.
    • Imaging revealed partial tethering of the flexor hallucis longus tendon distal to the medial malleolus.

    Findings:

    • Surgical division of the flexor hallucis longus tendon pulley was performed.
    • The pulley was located distal and posterior to the medial malleolus.
    • The patient experienced complete resolution of triggering symptoms post-surgery.

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    Implications:

    • This case highlights that tendon triggering, specifically of the flexor hallucis longus, can be a real clinical entity.
    • Surgical intervention by dividing the tendon pulley offers a curative solution for symptomatic cases.
    • Further research may be warranted to understand the etiology and prevalence of this condition.