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Karan Malhotra Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Kinner Davda Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Dishan Singh Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Introduction Deformities of the lesser toes are a frequently-encountered condition associated with significant morbidity. Data from the Swedish registries suggests that almost a quarter of patients undergoing forefoot surgery had lesser toe

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Ali-Asgar Najefi Foot & Ankle Unit, Royal National Orthopaedic Hospital, UK

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Luckshmana Jeyaseelan Foot & Ankle Unit, Royal National Orthopaedic Hospital, UK

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Matthew Welck Foot & Ankle Unit, Royal National Orthopaedic Hospital, UK

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early stages of recovery because deformity can progress with athletic activity. Low-impact exercise, such as bicycling, elliptical training and hydrotherapy, can be attempted with toe protection. Cortisone or anaesthetic agents are not advised. 16 , 27

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Lukas Fraissler University of Würzburg, Germany

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Christian Konrads University of Würzburg, Germany

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Maik Hoberg University of Würzburg, Germany

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Maximilian Rudert University of Würzburg, Germany

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Matthias Walcher University of Würzburg, Germany

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of the great toe and medial deviation of the first metatarsal bone. 2 It is the most common pathology of the big toe. Coughlin reported in a prospective study with 103 patients a bilateral deformity in 84% of the cases. 3 While there is

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Sitanshu Barik Pediatric Orthopedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

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Sebastian Farr Orthopedic Hospital Speising, Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Vienna, Austria

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callosity over the toe. Global transverse digital deviation may also occur in long-standing cases leading to windswept deformity of the toes. 24 Hallux valgus has been associated with third and fourth metatarsal brachymetatarsia, because the first and

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Djandan Tadum Arthur Vithran Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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Xu Liu Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Miao He Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Anko Elijah Essien Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Michael Opoku Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Yusheng Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Ming-Qing Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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. In severe cases, the first and fifth metatarsal bones may appear as skin ulcers due to long-term wear ( 5 ). When the child has claw toe deformity due to friction with the shoe, the back of the toe may also appear callose or have skin ulcers. Children

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Carlos Maynou CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Christophe Szymanski CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Alexis Thiounn CHU Lille, Orthopaedic Department, F-59000 Lille, France

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hallucis longus and extensor digitorum longus as secondary ankle dorsiflexors will lead to ‘cock-up’ deformity of the hallux and clawtoe deformity of the lesser toes. To allow the toe pulp to touch the ground, the flexor muscles of the toes contract

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Lorenz Pisecky Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias Luger Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Antonio Klasan Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Tobias Gotterbarm Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias C. Klotz Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Rainer Hochgatterer Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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orthopaedic surgeons to hold the reduction of the osteotomy in hallux valgus, hammer toe, claw toe, metatarsalgia and digitus quintus varus deformities. Due to their similarity with conventional titanium screws and larger diameter, bioabsorbable screws made

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Ignacio Sanpera Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Sandra Villafranca-Solano Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Carmen Muñoz-Lopez Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Julia Sanpera-Iglesias Evelina Children’s Hospital, London, UK

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toes and an increase in the height of the foot’s arch as well as an equinus deformity of the forefoot over the hindfoot. Due to the relative strength of the hallux muscle, the flexion is more accentuated on the first ray, resulting in a pronation

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Kamil Cagri Kose Marmara University Faculty of Medicine Department of Orthopedics and Traumatology, Istanbul, Turkey

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Omer Bozduman Ufuk University Faculty of Medicine Department of Orthopaedics and Traumatology, Ankara, Turkey

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Ali Erkan Yenigul Urfa State Hospital Department of Orthopedics and Traumatology, Istanbul, Turkey

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Servet Igrek Marmara University Faculty of Medicine Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Introduction Spinal deformity is a term to describe pathological curvatures of the spine in the sagittal and coronal planes. Deformity can occur in all age groups regardless of age or gender. In older patients, pain and neurological symptoms

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Daniel Murphy St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Mohsen Raza St George’s University Hospitals NHS Foundation Trust, London, UK

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Hiba Khan St George’s University Hospitals NHS Foundation Trust, London, UK

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Deborah M. Eastwood Great Ormond Street Hospital, London, UK
University College London (UCL), London, UK

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Yael Gelfer St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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–71 pre-op, 32–91 post-op) 16 of 19 feet pain-free at last follow-up Not reported 19/19 feet pin infections 4 flat-top talus 4 temporary foot stiffness 8 toe flexion contracture needing PC release Recurrence of deformity in 2 pts (age 12 and 15

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