Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2023)

A novel method of treating and rehabilitating patients with flexor tendon injuries to the lesser toes

  • Daniel J Youlden, MBBS (Hons), MS,
  • Moussa Farhat, MBBS, MS (Orth), MPH, GDAAD,
  • Clancy A Kemety, BAppSc (Physio), AHTA, CHT,
  • David J Graham, B.Phty(hons), MBBS,
  • Andrew Wines, MBBS, FRACS(Orth), FAOrthA,
  • Brahman Sivakumar, MBBS, B Sci [Med], MS, MSc,
  • Michael Symes, BAppSc (Physio), MBBS, FRACS, MPH, FAOrthA

Journal volume & issue
Vol. 3, no. 4
p. 100262

Abstract

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Descriptions of the management of lesser toe flexor tendon injuries are scarce in the literature. Lesser toe injuries and deformities can result in problems with footwear, function and aesthetics, therefore optimal management is key. We present a case of injury to the flexor digitorum brevis and longus to the third toe, and discuss the subsequent surgical management and novel method of rehabilitating the injury, using principles gleaned from hand surgical practice. We anticipate superior outcomes for patients being managed with this surgical and postoperative protocol as compared to alternative repairs and static immobilization.

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