title: Joint salvage after neglected intra-articular physeal fracture of the hallux in high-level gymnasts.
abstract: Chronic sports-related injuries involving the hallux are well known in adult populations. However, they are less frequently described in adolescents. We present 2 cases of elite-level gymnasts with neglected Salter-Harris IV fractures involving the proximal phalanx of the great toe following a severe hyperextension injury to the metatarsophalangeal joint. Both were successfully treated with open reduction and internal fixation with return to pre-injury level of activity, improvement in outcome scores, and demonstration of no disability from injury 2 years after surgical intervention.
  
  
  METHODS
  Therapeutic, Level IV: Case Series.
authors.affiliation: Baylor University Medical Center, Dallas, Texas Jason.bariteau@gmail.com.
authors.forename: Jason T
authors.initials: JT
authors.lastname: Bariteau
authors.affiliation: Baylor University Medical Center, Dallas, Texas.
authors.forename: Diana Montoya
authors.initials: DM
authors.lastname: Murillo
authors.affiliation: Baylor University Medical Center, Dallas, Texas.
authors.forename: Shay A
authors.initials: SA
authors.lastname: Tenenbaum
authors.affiliation: Baylor University Medical Center, Dallas, Texas.
authors.forename: James W
authors.initials: JW
authors.lastname: Brodsky
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006214:Hallux / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008683:Metatarsophalangeal Joint / Q000293:injuries* / Q000601:surgery; D011859:Radiography
keywords: gymnast; hallux fracture