PMC6727443_01
Presenting swelling and deformity. Initial clinical photographs revealing an enlarged right foot.
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F1
Non-tender enlargement was noted on all aspects of her right mid and forefoot with the second and third hammer toe deformities (Fig. 1).
Pre-operative X-ray. Pre-operative three view radiographs of the right foot revealing normal bony anatomy and an enlarged soft tissue envelope.
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F2
Radiographs revealed normal bony anatomy (Fig. 2).
Pre-operative magnetic resonance imaging (MRI). MRI images demonstrating hypertrophy of all foot intrinsic muscles of the right foot.
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F3
Amagnetic resonance imaging (MRI) was obtained revealing significant hypertrophy of all intrinsic muscles in the foot (Fig. 3).
Post-operative X-ray. Post-operative radiographs at 6 weeks after pin removal which reveal improved alignment of the second and third toes with fusion of the proximal interphalangeal joints.
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F4
At 4-month follow-up, the patient was pain free with no complaints and she was able to bear weight, ambulate, and complete her activities of daily living without issue (Fig. 4.).
Clinical outcome after surgical correction. Clinical photographs at 21-month follow-up revealing improved toe alignment and well-healed surgical incisions.
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F5
At 21-month follow-up, the patient was very satisfied with her toe positions and reported a decrease in pain on VAS to a resting level of zero and level of zero to three with prolonged activity, including running, which localized to the second and third digit (Fig. 5).