title: Claw Toe Deformity of the Foot due to Foreign Body Granuloma.
abstract: We present a case of dynamic claw deformity of the right third toe due to a foreign body granuloma adhering to the flexor digitorum longus (FDL) tendon at the level of the body of the metacarpal bone. The deformity was completely corrected after removal of the granuloma and lengthening of the FDL tendon. A 25-year-old woman presented with pain and claw deformity of the right third toe, which corrected with ankle plantar flexion. Ultrasound and magnetic resonance imaging suggested the presence of foreign body granuloma of the right FDL tendon at the level of body of third metacarpal bone. On removal of the granuloma and Z plasty of the FDL tendon, there was complete correction of the claw. In the reported literature, claw deformity is seen with compartment syndrome or ankle fractures due to fixed length phenomenon or checkrein deformity of the flexor tendons usually at the level of medial part of the ankle. Here, we present a case of checkrein claw deformity of the FDL tendon due to a foreign body granuloma.
  
  
  METHODS
  Therapeutic, Level IV: Case study.
authors.affiliation: Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India kaushikbhowmick97@yahoo.co.in.
authors.forename: Kaushik
authors.initials: K
authors.lastname: Bhowmick
authors.affiliation: Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Thomas
authors.initials: T
authors.lastname: Matthai
authors.affiliation: Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Jerry
authors.initials: J
authors.lastname: Nesaraj
authors.affiliation: Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Thilak S
authors.initials: TS
authors.lastname: Jepegnanam
mesh_terms: D000328:Adult; D005260:Female; D015745:Granuloma, Foreign-Body / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D037801:Hammer Toe Syndrome / Q000209:etiology* / Q000601:surgery; D006801:Humans; D013710:Tendons / Q000601:surgery
keywords: adolescent foot problems; age-related problems; geriatric podiatry