{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:25Z","timestamp":1787755525181,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n Stiff-person syndrome is a rare neurological disorder characterized by rigidity and painful spasms of the trunk and limbs, and patients sometimes have difficulty in walking due to rigid toe deformities. This is a case report of a 76-year-old woman suffering from stiff-person syndrome with painful rigid toe deformities regained walking ability after metatarsal osteotomy and cutting of the toe extensors for all toes in the left foot.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n For patients with stiff-person syndrome, surgical intervention is a powerful treatment option when they have developed rigid and painful toe deformities despite adequate pharmacological treatment.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00008","type":"journal-article","created":{"date-parts":[[2020,8,15]],"date-time":"2020-08-15T01:31:19Z","timestamp":1597455079000},"page":"e20.00008","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment for Toe Deformities in Stiff-Person Syndrome"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4134-9519","authenticated-orcid":false,"given":"Ryutaro","family":"Takeda","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Isawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Toranomon Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2363-9803","authenticated-orcid":false,"given":"Takumi","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9210-9414","authenticated-orcid":false,"given":"Sakae","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3575-821X","authenticated-orcid":false,"given":"Tetsuro","family":"Yasui","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan"},{"name":"Department of Orthopaedic Surgery, Teikyo University Mizonokuchi Hospital, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"1","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1136\/jnnp.71.1.100","article-title":"Antibodies against glutamic acid decarboxylase: prevalence in neurological diseases","volume":"71","author":"Meinck","year":"2001","journal-title":"J Neurol Neurosurg Psychiatry."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1002\/mds.10279","article-title":"Stiff man syndrome and related conditions","volume":"17","author":"Meinck","year":"2002","journal-title":"Mov Disord."},{"issue":"5","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1136\/jnnp.65.5.633","article-title":"Review of 23 patients affected by the stiff man syndrome: clinical subdivision into stiff trunk (man) syndrome, stiff limb syndrome, and progressive encephalomyelitis with rigidity","volume":"65","author":"Barker","year":"1998","journal-title":"J Neurol Neurosurg Psychiatry."},{"key":"bib4-20230720","first-page":"1","article-title":"Stiff person syndrome: a rare neurological disorder, heterogeneous in clinical presentation and not easy to treat","volume":"2015","author":"Buechner","year":"2015","journal-title":"Case Rep Neurol Med."},{"issue":"15","key":"bib5-20230720","first-page":"421","article-title":"Progressive fluctuating muscular rigidity and spasm (\u201cstiff-man\u201d syndrome); 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