{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:05Z","timestamp":1783509245994,"version":"3.55.0"},"reference-count":10,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5]]},"abstract":"Hallux varus is most commonly seen iatrogenically following overaggressive lateral release, removal of the fibular sesamoid, or overaggressive removal of the medial eminence. There are several reported cases of traumatic hallux varus, although this is much less common. We present a case of traumatic hallux varus in a patient who was later found to have bilateral absence of her fibular sesamoids. We postulated that lack of her fibular sesamoid led to weakness of her lateral capsular ligaments, thereby making her more susceptible to this injury. We performed a repair using a split extensor hallucis longus tendon transfer that was transected proximally, rerouted the tendon under the deep transverse intermetatarsal ligament, and secured it to the first metatarsal with a Bio-Tenodesis (Arthrex, Inc, Naples, Florida) screw. At 22 months postoperatively, she has demonstrated maintenance of correction and has resumed use of normal shoe gear and participation in activities. Our goal was to demonstrate a repair for this condition that successfully maintained correction over time while still allowing for functionality of the first metatarsophalangeal joint.<\/jats:p>","DOI":"10.7547\/17-138","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T12:09:53Z","timestamp":1562155793000},"page":"246-252","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic Hallux Varus in Association with Agenesis of the Fibular Sesamoid: A Case Study"],"prefix":"10.3390","volume":"109","author":[{"given":"Tracy","family":"Lee","sequence":"first","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Monson","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, OH."},{"name":"The Ohio State University, Gahanna, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-109-3-246-b01","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/S1067-2516(00)80036-8","article-title":"Traumatic hallux varus repair utilizing a soft-tissue anchor: a case report","volume":"39","author":"Labovitz \n JM,","year":"2000","unstructured":"Labovitz \n JM, \n \n \n Kaczander \n BI: \n \n \n Traumatic hallux varus repair utilizing a soft-tissue anchor: a case report. J Foot Ankle Surg39: 120, 2000.1078910310.1016\/S1067-2516(00)80036-8"},{"key":"i8750-7315-109-3-246-b02","series-title":"J Clin Orthop Trauma","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.jcot.2014.05.005","article-title":"Post-traumatic dynamic hallux varus instability","volume":"5","author":"Ryan \n PM,","year":"2014","unstructured":"Ryan \n PM, \n \n \n Johnston \n A, \n \n \n Gun \n BK: \n \n \n Post-traumatic dynamic hallux varus instability. J Clin Orthop Trauma5: 94, 2014.10.1016\/j.jcot.2014.05.00525983478"},{"key":"i8750-7315-109-3-246-b03","series-title":"Case Rep Orthop","first-page":"179642","article-title":"Traumatic hallux varus treated by minimally invasive extensor hallucis brevis tenodesis: case report","volume":"2015","author":"Cheung \n CN,","year":"2016","unstructured":"Cheung \n CN, \n \n \n Lui \n TH: \n \n \n Traumatic hallux varus treated by minimally invasive extensor hallucis brevis tenodesis: case report. Case Rep Orthop2015: 179642, 2016."},{"key":"i8750-7315-109-3-246-b04","series-title":"Orthopedics","doi-asserted-by":"publisher","first-page":"963","DOI":"10.3928\/0147-7447-19860701-08","article-title":"Dynamic post-surgical hallux varus after lateral sesamoidectomy: treatment and prevention","volume":"9","author":"Turner \n RS:","year":"1986","unstructured":"Turner \n RS: \n \n \n Dynamic post-surgical hallux varus after lateral sesamoidectomy: treatment and prevention. 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J Foot Ankle Surg52: 254, 2013.10.1053\/j.jfas.2012.11.01123321287http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000314994100025&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-3-246-b09","series-title":"Clin Podiatr Med Surg","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.cpm.2015.06.008","article-title":"Tendon transfers and salvaging options for hallux varus deformities","volume":"33","author":"Gradisek \n BP,","year":"2016","unstructured":"Gradisek \n BP, \n \n \n Weil \n L\n Jr: \n \n \n Tendon transfers and salvaging options for hallux varus deformities. 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