The Utility of Ultrasound in the Evaluation of Traumatic Hallux Valgus. (15th October 2022)

• Record Type: Journal Article
• Authors: Fultz, Connor; Luetmer, Marianne T.; Onishi, Kentaro
• Is Part Of: American journal of physical medicine & rehabilitation. Volume 101:Number 10(2022)
• Page Start: e145
• Page End: e148
• Publication Date: 2022-10-15
• Subjects: Hallux Valgus -- Metatarsophalangeal Joint -- Ultrasonography -- Plantar Plate -- Joint Instability -- Case Report; Rehabilitation -- Periodicals; Medicine, Physical -- Periodicals; 617.062
• DOI: 10.1097/PHM.0000000000002073
• Languages: English
• ISSNs: 0894-9115

Abstract

Abstract: Isolated disruption of the medial collateral ligament of the great toe is rare and often misdiagnosed as turf toe. It may progress to acquired traumatic hallux valgus, often requiring operative intervention and a longer return to play. This case of a grade II medial collateral ligament injury highlights the importance of a thorough physical examination and consideration of the mechanism of injury. It demonstrates the utility of diagnostic musculoskeletal ultrasound in establishing a specific diagnosis upon initial patient presentation with great toe pain. It is an example of the use of ultrasound in guiding treatment and monitoring interval healing. In this case, differentiation of the injury from the classic "turf toe" led to proper stabilization with a toe spacer and activity modification, thus preventing progression of traumatic hallux valgus and leading to successful nonoperative treatment with full return to sport. Level of Evidence: Level V