Iatrogenic medial dislocation of hallucal sesamoids with hallux varus in an adolescent.
BACKGROUND
Iatrogenic hallux varus is a rare deformity linked to bunion surgery at late adult age. Here reported is the first adolescent case of acquired hallux varus and medial dislocation of both sesamoid bones.


METHODS
The patient had had a surgical intervention under his first metatarsophalangeal joint when he was 10 years old. Correction of the deformity with a tendon transfer and medial capsular release alone-as was recommended for adults-was impossible in this adolescent, 8 years after the index surgery. Excision of the contracted medial structures and repair of the lateral retinaculum of the fibular sesamoid obtained a perfect correction of the dislocated sesamoid bones.
Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey. gurkanozkoc@hotmail.com
Gürkan
G
Ozkoç
Murat Ali
MA
Hersekli
Sercan
S
Akpinar
Metin
M
Ozalay
Necip
N
Cesur
Mustafa
M
Uysal
Reha N
RN
Tandoğan
D000293:Adolescent; D005528:Foot / Q000000981:diagnostic imaging; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology*; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D013997:Time Factors