{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:38Z","timestamp":1787755478827,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"\n Case:<\/jats:title>\n A 14-year-old girl presented with painful high-arched feet and unusual, asymptomatic, bilateral macrodactyly of the halluces. After a year of observation, a surgical reduction was performed because of the psychological effect that the abnormality had on the patient. Bilateral shortening osteotomies of the metatarsal and the proximal phalangeal bones were performed. At 2 months after surgery, complete bone healing and alignment had been achieved. At the 5-year follow-up, we noted fully functional big toes, plantigrade feet, bilateral proper toe formula, and extreme patient satisfaction with the cosmetic results.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Dual osteotomies for toe shortening in a patient with bilateral nondysmorphic macrodactyly provided appropriate length reduction and satisfactory aesthetic and functional results.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00314","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:26:59Z","timestamp":1532478419000},"page":"e58-e58","source":"Crossref","is-referenced-by-count":3,"title":["Bilateral Macrodactyly of the Halluces in an Adolescent Girl Corrected with Shortening Osteotomies of the First Metatarsal and the Phalangeal Bones"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2660-1889","authenticated-orcid":false,"given":"Juan Pedro","family":"Kalb","sequence":"first","affiliation":[{"name":"Foot and Ankle Orthopaedics (J.P.K.), Epidemiology Unit (A.M.H.), and Cl\u00ednica del Campestre (J.P.K., D.A.S., and A.M.H.), Medell\u00edn, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4388-5470","authenticated-orcid":false,"given":"David Andr\u00e9s","family":"Suarez","sequence":"additional","affiliation":[{"name":"Foot and Ankle Orthopaedics (J.P.K.), Epidemiology Unit (A.M.H.), and Cl\u00ednica del Campestre (J.P.K., D.A.S., and A.M.H.), Medell\u00edn, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7382-5631","authenticated-orcid":false,"given":"Ana Milena","family":"Herrera","sequence":"additional","affiliation":[{"name":"Foot and Ankle Orthopaedics (J.P.K.), Epidemiology Unit (A.M.H.), and Cl\u00ednica del Campestre (J.P.K., D.A.S., and A.M.H.), Medell\u00edn, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,9]]},"reference":[{"issue":"Suppl 1","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"S178","DOI":"10.1016\/j.main.2008.07.021","article-title":"[Macrodactylies of the hand and foot]. [French.]","volume":"27","author":"Casanova","year":"2008","journal-title":"Chir Main."},{"issue":"5","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1177\/107110079601700508","article-title":"Multiple lower limb osteophytosis with macrodactyly: a case report","volume":"17","author":"Mullins","year":"1996","journal-title":"Foot Ankle Int."},{"issue":"3","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/BPO.0000000000000073","article-title":"Growing Spine Study Group; Pediatric Orthopaedic Society of North America; Scoliosis Research Society Growing Spine Study Committee. A classification of growth friendly spine implants","volume":"34","author":"Skaggs","year":"2014","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib4-20230811","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/NOR.0b013e31825dfcef","article-title":"Isolated macrodactyly of the foot: diagnosis and treatment","volume":"31","author":"Hart","year":"2012","journal-title":"Orthop Nurs."},{"issue":"2","key":"bib5-20230811","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1053\/j.jfas.2004.01.004","article-title":"Island nail transfer in the treatment of macrodactyly of the great toe: a case report","volume":"43","author":"Dautel","year":"2004","journal-title":"J Foot Ankle Surg."},{"issue":"12","key":"bib6-20230811","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.3113\/FAI.2008.1253","article-title":"Treatment of macrodactyly in the adult foot: a case report","volume":"29","author":"Ahn","year":"2008","journal-title":"Foot Ankle Int."},{"issue":"4","key":"bib7-20230811","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1053\/j.jfas.2011.04.011","article-title":"Ray reduction of the foot in the treatment of macrodactyly and review of the literature","volume":"50","author":"Hop","year":"2011","journal-title":"J Foot Ankle Surg."},{"issue":"7","key":"bib8-20230811","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.bjps.2005.05.013","article-title":"A case of toe macrodactyly treated by application of a vascularised nail graft","volume":"58","author":"Uemura","year":"2005","journal-title":"Br J Plast Surg."},{"issue":"4","key":"bib9-20230811","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1302\/0301-620X.80B4.0800651","volume":"80","author":"Kotwal","year":"1998","journal-title":"Macrodactyly. 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