Isolated Lesser Toe Checkrein Deformity After Tibial Fracture: A Case Report

Collin S Black; Mark R Nazal; Andrew M Kirk; Arjun Srinath

doi:10.2106/JBJS.CC.24.00186

Isolated Lesser Toe Checkrein Deformity After Tibial Fracture: A Case Report

JBJS Case Connect. 2024 Nov 14;14(4). doi: 10.2106/JBJS.CC.24.00186. eCollection 2024 Oct 1.

Authors

Collin S Black¹, Mark R Nazal¹, Andrew M Kirk¹, Arjun Srinath²

Affiliations

¹ Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.
² Department of Orthopaedics, University of Miami, Miami, Florida.

PMID: 41494044
DOI: 10.2106/JBJS.CC.24.00186

Abstract

Case: A 36-year-old woman developed clawing deformity of her lesser toes after intramedullary fixation of a right distal diaphyseal tibia fracture after a motorcycle collision. The patient was found to have adhesions of the flexor digitorum longus (FDL) tendon to the posterior tibialis tendon and the posterior aspect of the tibia and underwent surgical lysis of adhesions. There was resolution of symptoms at 1 year.

Conclusion: This case highlights a complication after tibial fracture healing of a rare variant of checkrein deformity with isolated FDL involvement. This adds to our understanding of postoperative tibial fracture complication profile and subsequent management.

Keywords: checkrein; checkrein deformity; foot and ankle.

Publication types

Case Reports

MeSH terms

Adult
Female
Fracture Fixation, Intramedullary* / adverse effects
Hammer Toe Syndrome* / diagnostic imaging
Hammer Toe Syndrome* / etiology
Hammer Toe Syndrome* / surgery
Humans
Postoperative Complications* / diagnostic imaging
Postoperative Complications* / etiology
Postoperative Complications* / surgery
Tibial Fractures* / complications
Tibial Fractures* / surgery