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Extension contracture of toe

MedGen UID:
1842080
•Concept ID:
C5826580
•
Acquired Abnormality
HPO: HP:0034676

Definition

A type of toe joint contracture in which the joint lacks full expected flexion, so that the two bony segments on either side of their connecting joint cannot be brought together. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVExtension contracture of toe

Recent clinical studies

Etiology

Novel Extramedullary Fixation Device for Hammertoe Correction: A Retrospective Review of 100 patients.
Connors JC, Zulauf EE, Manji AA
J Foot Ankle Surg 2023 Jul-Aug;62(4):694-700. Epub 2023 Feb 23 doi: 10.1053/j.jfas.2023.02.010. PMID: 36997364
Retro-Malleolar Z-Plasty of Flexor Hallucis Longus Tendon in Post-Traumatic Checkrein Deformity: A Case Series and Literature Review.
Polichetti C, Greco T, Inverso M, Maccauro G, Forconi F, Perisano C
Medicina (Kaunas) 2022 Aug 10;58(8) doi: 10.3390/medicina58081072. PMID: 36013539Free PMC Article
Adolph Seeligmüller (1837-1912) and the first graphic illustration of the "toe phenomenon" (later called "Babiński sign") in the medical literature.
Brigo F, Lorusso L; Study Group on the History of Neurology of the Italian Neurological Society
Neurol Sci 2022 Mar;43(3):2145-2148. Epub 2021 Jul 2 doi: 10.1007/s10072-021-05438-1. PMID: 34213698
Treatment of feet deformities in epidermolysis bullosa.
Sternick MB, Formentini PK, de Souza GM, Teixeira EC, de Almeida Filho IA, da Costa SM
Int Orthop 2016 Jul;40(7):1361-5. Epub 2016 Feb 22 doi: 10.1007/s00264-016-3135-1. PMID: 26899603
Surgical management of burn flexion and extension contractures of the toes.
Chang JB, Kung TA, Levi B, Irwin T, Kadakia A, Cederna PS
J Burn Care Res 2014 Jan-Feb;35(1):93-101. doi: 10.1097/BCR.0b013e3182a368fc. PMID: 24390110

Diagnosis

A Neglected Extensor Hallucis Longus Tendon Rupture Caused by Arthritic Adhesion.
Won SH, Kim SH, Lee YK, Chun DI, Lee BR, Kim WJ
Medicina (Kaunas) 2023 Jun 1;59(6) doi: 10.3390/medicina59061069. PMID: 37374273Free PMC Article
Retro-Malleolar Z-Plasty of Flexor Hallucis Longus Tendon in Post-Traumatic Checkrein Deformity: A Case Series and Literature Review.
Polichetti C, Greco T, Inverso M, Maccauro G, Forconi F, Perisano C
Medicina (Kaunas) 2022 Aug 10;58(8) doi: 10.3390/medicina58081072. PMID: 36013539Free PMC Article
Tendon split lengthening technique for flexor hallucis longus tendon rupture.
Park JY, Wang C, Kim HD, Kim HN
J Orthop Surg Res 2017 Nov 6;12(1):165. doi: 10.1186/s13018-017-0668-y. PMID: 29110725Free PMC Article
Dynamic splinting for postoperative hallux limitus: a randomized, controlled trial.
John MM, Kalish S, Perns SV, Willis FB
J Am Podiatr Med Assoc 2011 Jul-Aug;101(4):285-8. doi: 10.7547/1010285. PMID: 21816996
Cerebrovascular accidents.
Izzo KL, Aravabhumi S
Clin Podiatr Med Surg 1989 Oct;6(4):745-59. PMID: 2680040

Therapy

Secondary nerve lengthening to obtain full knee extension in popliteal pterygium syndrome.
Boeckx W, Misani M, Vandermeeren L, Franck D, Zirak C, Demey A
J Reconstr Microsurg 2014 May;30(4):235-40. Epub 2014 Mar 28 doi: 10.1055/s-0033-1354735. PMID: 24683134
Recutting the distal femur to increase maximal knee extension during TKA causes coronal plane laxity in mid-flexion.
Cross MB, Nam D, Plaskos C, Sherman SL, Lyman S, Pearle AD, Mayman DJ
Knee 2012 Dec;19(6):875-9. Epub 2012 Jun 21 doi: 10.1016/j.knee.2012.05.007. PMID: 22727760
Dynamic splinting for postoperative hallux limitus: a randomized, controlled trial.
John MM, Kalish S, Perns SV, Willis FB
J Am Podiatr Med Assoc 2011 Jul-Aug;101(4):285-8. doi: 10.7547/1010285. PMID: 21816996
Secondary gait compensations in individuals without neuromuscular involvement following a unilateral imposed equinus constraint.
Goodman MJ, Menown JL, West JM Jr, Barr KM, Vander Linden DW, McMulkin ML
Gait Posture 2004 Dec;20(3):238-44. doi: 10.1016/j.gaitpost.2003.09.005. PMID: 15531170
Treatment of extrinsic flexion deformity of the toes associated with previous removal of a vascularized fibular graft.
Takakura Y, Yajima H, Tanaka Y, Komeda T, Tamai S
J Bone Joint Surg Am 2000 Jan;82(1):58-61. doi: 10.2106/00004623-200001000-00007. PMID: 10653084

Prognosis

Dynamic splinting for postoperative hallux limitus: a randomized, controlled trial.
John MM, Kalish S, Perns SV, Willis FB
J Am Podiatr Med Assoc 2011 Jul-Aug;101(4):285-8. doi: 10.7547/1010285. PMID: 21816996
Nerve palsy after hamstring lengthening in patients with cerebral palsy.
Karol LA, Chambers C, Popejoy D, Birch JG
J Pediatr Orthop 2008 Oct-Nov;28(7):773-6. doi: 10.1097/BPO.0b013e318186bdbb. PMID: 18812906
Function after correction of a clawed great toe by a modified Robert Jones transfer.
Breusch SJ, Wenz W, Döderlein L
J Bone Joint Surg Br 2000 Mar;82(2):250-4. PMID: 10755436
Use of skin Z-plasty for management of extension contracture in recurrent claw- and hammertoe deformity.
Myerson MS, Fortin P, Girard P
Foot Ankle Int 1994 Apr;15(4):209-12. doi: 10.1177/107110079401500410. PMID: 7951956
Cerebrovascular accidents.
Izzo KL, Aravabhumi S
Clin Podiatr Med Surg 1989 Oct;6(4):745-59. PMID: 2680040

Clinical prediction guides

Retro-Malleolar Z-Plasty of Flexor Hallucis Longus Tendon in Post-Traumatic Checkrein Deformity: A Case Series and Literature Review.
Polichetti C, Greco T, Inverso M, Maccauro G, Forconi F, Perisano C
Medicina (Kaunas) 2022 Aug 10;58(8) doi: 10.3390/medicina58081072. PMID: 36013539Free PMC Article
Tendon split lengthening technique for flexor hallucis longus tendon rupture.
Park JY, Wang C, Kim HD, Kim HN
J Orthop Surg Res 2017 Nov 6;12(1):165. doi: 10.1186/s13018-017-0668-y. PMID: 29110725Free PMC Article

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