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Hallux Mallet Traumático: Dos Informes de Casos con Enfoques de Tratamiento Distintos
Mafalda Reis1, Filipe Maçães1, Belmiro Alves1
1Orthopaedics and Traumatology, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, PRT.
Cureus
|February 6, 2026
Resumen
El hallux mallet traumático, una lesión por avulsión del tendón extensor hallucis longus, es raro. El tratamiento depende del tamaño de la fractura y la estabilidad de la articulación, con atención conservadora para lesiones estables y cirugía para fracturas desplazadas.
Área de la Ciencia:
- Ortopedia; Medicina Deportiva; Podología
Sus antecedentes:
- El hallux mallet traumático, una lesión por avulsión del tendón extensor hallucis longus, es poco común y carece de protocolos de tratamiento estandarizados.; Esta lesión involucra el tendón o su inserción ósea en la articulación interfalángica (IP) del hallux.
Objetivo del estudio:
- Presentar dos casos distintos de hallux mallet traumático con diferentes estrategias de manejo.; Enfatizar la importancia del tratamiento individualizado basado en las características de la lesión.
Principales métodos:
- Caso 1: Fractura por avulsión no desplazada (30% de la superficie articular) tratada conservadoramente con férula de extensión.; Caso 2: Fractura por avulsión desplazada (50% de la superficie articular) con subluxación volar tratada quirúrgicamente con reducción abierta y fijación interna.
Principales resultados:
- El tratamiento conservador en el Caso 1 resultó en una recuperación completa en tres meses.; La intervención quirúrgica en el Caso 2 permitió la movilización temprana y la restauración funcional completa a los tres meses.
Conclusiones:
- El tratamiento individualizado es crucial para el hallux mallet traumático.; El manejo conservador es efectivo para fracturas estables y no desplazadas.; La intervención quirúrgica está indicada para fracturas desplazadas o aquellas con incongruencia articular.
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