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Review
. 2022 Nov;51(11):939-942.
doi: 10.1007/s00132-022-04311-z. Epub 2022 Oct 6.

[Hallux saltans-rare diagnosis, often overlooked]

[Article in German]
Melanie Schindler  1 , Jan Reinhard  2 , Joachim Grifka  2 , Franziska Leiss  2 , Timo Schwarz  2
Affiliations
Review

[Hallux saltans-rare diagnosis, often overlooked]

[Article in German]
Melanie Schindler et al. Orthopadie (Heidelb). 2022 Nov.

Abstract
in English, German

Hallux saltans is similar to digitus saltans and produces a spontaneous "snapping" of the big toe. This results in a constriction of the flexor hallucis longus tendon within the osteofibrous retromalleolar canal. The diagnosis was first described in 1940, and only a few case reports exist. We present the diagnosis and the treatment of a patient and give a review of the literature.

Der Hallux saltans führt, ähnlich wie beim Digitus saltans, zu einem plötzlichen „Schnappen“ der Großzehe. Dabei kommt es zu einer Einengung der Flexor-hallucis-longus-Sehne innerhalb des osteofibrösen Kanals retromalleolär. Die Diagnose wurde erstmals 1940 beschrieben und es existieren nur einzelne Fallberichte. Wir präsentieren die Diagnostik sowie Therapie bei einem Patienten und geben einen Überblick über die Literatur.

Keywords: Ankle; Big toe; Flexor tendon entrapment; Snapping finger; Treatment.

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References

Literatur

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    1. Purushothaman R, Karuppal R, Inassi J, Valsalan R (2012) Hallux saltans due to flexor hallucis longus entrapment at a previously unreported site in an unskilledmanual laborer: a case report. J Foot Ankle Surg 51:334–336 - DOI - PubMed
    1. Lewin P (1940) The foot and ankle. Their injuries, diseases, deformities and disabilities. Lea and Febiger, Philadelphia, S 207–208
    1. Lereim P (1985) Trigger toe in classical-ballet dancers. Arch Orthop Trauma Surg 104(5):325–326 - DOI - PubMed
    1. Theodore GH, Kolettis GJ, Micheli LJ (1996) Tenosynovitis of the flexor hallucis longus in a long-distance runner. Med Sci Sports Exerc 28(3):277–279 - PubMed