Case Report| Volume 49, ISSUE 2, P179-181, March 2010

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Digital Fracture After a Flexor Tendon Transfer for Hammertoe Repair: A Case Report

Published:December 04, 2009DOI:


      The authors present a case report of a complication of a complete phalangeal fracture after flexor digitorum longus tendon transfer used for the surgical correction of a hammertoe deformity.

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        • Harmonson J.K.
        • Harkless L.B.
        Operative procedures for the correction of hammertoe, claw toe, and mallet toe. A literature review.
        Clin Podiatr Med Surg. 1996; 13: 211-220
        • Thomas J.L.
        • Blitch 4th, E.L.
        • Chaney D.M.
        • Dinucci K.A.
        • Eickmeier K.
        • Rubin L.G.
        • Stapp M.D.
        • Vanore J.V.
        Diagnosis and treatment of forefoot disorders. Section 1: digital deformities. Clinical Practice Guideline Forefoot Disorders Panel.
        J Foot Ankle Surg. 2009; 48: 230-238
        • O'Kane C.
        • Kilmartin T.
        Review of proximal interphalangeal joint excisional arthroplasty for the correction of second hammer toe deformity in 100 cases.
        Foot Ankle Int. 2005; 26: 320-325
        • Bouché R.T.
        • Heit E.J.
        Combined plantar plate and hammertoe repair with flexor digitorum longus tendon transfer for chronic, severe sagittal plane instability of the lesser metatarsophalangeal joints: preliminary observations.
        J Foot Ankle Surg. 2008; 47: 125-137
        • Goforth W.P.
        • Overbeek T.D.
        • Odom R.D.
        • Roe T.G.
        • McDonald D.K.
        Lesser-metatarsal medial displacement osteotomy for the treatment of digital transverse plane deformities.
        J Am Podiatr Med Assoc. 2005; 95: 550-555
        • Myerson M.S.
        Arthroplasty of the second toe.
        Semin Arthroplasty. 1992; 3: 31-38
        • Coughlin M.J.
        Subluxation and dislocation of the second metatarsophalangeal joint.
        Orthop Clin North Am. 1989; 20: 535-551
        • Yu G.V.
        • Judge M.S.
        • Hudson J.R.
        • Seidelmann F.E.
        Predislocation syndrome. Progressive subluxation/dislocation of the lesser metatarsophalangeal joint.
        J Am Podiatr Med Assoc. 2002; 92: 182-199
        • Mendicino R.W.
        • Statler T.K.
        • Saltrick K.R.
        • Catanzariti A.R.
        Predislocation syndrome: a review and retrospective analysis of eight patients.
        J Foot Ankle Surg. 2001; 40: 214-224
        • Haddad S.L.
        • Sabbagh R.C.
        • Resch S.
        • Myerson B.
        • Myerson M.S.
        Results of flexor-to-extensor and extensor brevis tendon transfer for correction of the crossover second toe deformity.
        Foot Ankle Int. 1999; 20: 781-788
        • Thompson F.M.
        • Deland J.T.
        Flexor tendon transfer for metatarsophalangeal instability of the second toe.
        Foot Ankle. 1993; 14: 385-388
        • Kuwada G.T.
        • Dockery G.L.
        Modification of the flexor tendon transfer procedure for the correction of flexible hammertoes.
        J Foot Surg. 1980; 19: 38-40
        • Myerson M.S.
        • Jung H.G.
        The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe.
        Foot Ankle Int. 2005; 26: 675-679
        • Pyper J.B.
        The flexor-extensor transplant operation for claw toes.
        J Bone Joint Surg Br. 1958; 40-B: 528-533
        • Boyer M.L.
        • DeOrio J.K.
        Transfer of the flexor digitorum longus for the correction of lesser-toe deformities.
        Foot Ankle Int. 2007; 28: 422-430
        • Burleigh W.
        • Gold G.S.
        • Jex R.M.
        • Young G.
        Flexor digitorum longus transfer.
        J Am Podiatr Med Assoc. 1993; 83: 244-250
        • Parrish T.F.
        Dynamic correction of clawtoes.
        Orthop Clin North Am. 1973; 4: 97-102
        • Forrester-Brown M.F.
        Tendon transplantation for clawing of the great toe.
        J Bone Joint Surg Am. 1938; 20: 57-60
        • Girdlestone G.R.
        Physiotherapy for hand and foot.
        J Chartered Soc Physiother. 1947; 32: 167-169
        • Taylor R.G.
        The treatment of claw toes by multiple transfers of flexor into extensor tendons.
        J Bone Joint Surg. 1951; 33: 539-542
        • Sgarlato T.E.
        Transplantation of the flexor digitorum longus muscle tendon in hammertoes.
        J Am Podiatr Assoc. 1970; 60: 383-388
        • Schuberth J.M.
        • Jensen R.
        Flexor digitorum longus transfer for second metatarsophalangeal joint dislocation/subluxation.
        in: Miller S.J. Mahan K.T. Yu G.V. Camasta C.A. Vickers N.S. Reconstructive Surgery of the Foot and Leg. Update '97. The Podiatry Institute, Tucker, GA1997: 11-14