{"title":"Minimally invasive surgery for symptomatic nonunion after fracture of the fourth toe interphalangeal coalition: A case report","authors":"Toshinori Kurashige","doi":"10.1016/j.joscr.2023.04.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The interphalangeal coalition is common in the fifth toe and relatively less in the fourth toe. Fractures may be overlooked, which could prolong fusion and cause further pain. Although reports of conservative treatment are limited, only one case was treated surgically with painful nonunion.</p></div><div><h3>Case presentation</h3><p>We report a very rare case of painful nonunion after a fracture of the fourth toe interphalangeal coalition. Surgery was performed following an unpublished minimally invasive procedure. The patient started full weight-bearing the day after surgery and returned to sports activity 3 months later. No postoperative complications occurred 6 months after surgery.</p></div><div><h3>Conclusion</h3><p>To the best of our knowledge, this is the second report of painful nonunion after a fracture of toe interphalangeal coalition treated surgically and the first report of minimally invasive surgery.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 44-47"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOS Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772964823000096","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background
The interphalangeal coalition is common in the fifth toe and relatively less in the fourth toe. Fractures may be overlooked, which could prolong fusion and cause further pain. Although reports of conservative treatment are limited, only one case was treated surgically with painful nonunion.
Case presentation
We report a very rare case of painful nonunion after a fracture of the fourth toe interphalangeal coalition. Surgery was performed following an unpublished minimally invasive procedure. The patient started full weight-bearing the day after surgery and returned to sports activity 3 months later. No postoperative complications occurred 6 months after surgery.
Conclusion
To the best of our knowledge, this is the second report of painful nonunion after a fracture of toe interphalangeal coalition treated surgically and the first report of minimally invasive surgery.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
