Congenital crossover fifth toe correction with soft tissue release and cutaneous Z-plasty.
Congenital overriding of the fifth toe causes symptoms in approximately half of all patients. The results of three patients treated with a simpler procedure involving metatarsal phalangeal capsular release dorsally and medially, oblique lengthening of the extensor tendon, and Z-plasty of the skin is reported. At an average of 33 month follow-up, no recurrence is noted with this simple procedure.
Thordarson
D B
DB
USC Department of Orthopaedic Surgery, Los Angeles, CA 90033, USA. thordars@hsc.usc.edu
D000293:Adolescent; D000328:Adult; D002648:Child; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps; D013710:Tendons / Q000601:surgery*; D014033:Toe Joint / Q000601:surgery*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery*