1/3. Lethal hydrops fetalis due to congenital dyserythropoietic anemia in a newborn: association of a new skeletal abnormality.Congenital dyserythropoietic anemias (CDAs) are a group of hereditary refractory anemias characterized by ineffective erythropoiesis, typical morphological abnormalities of erythroblasts, a low or no reticulocyte response, hyperbilirubinemia, and splenomegaly. A massive hydropic newborn born with a very severe anemia (Hb 4.8 g/dL), diffuse edema, hepatosplenomegaly, ascites, pulmonary edema and respiratory distress, and shortness and hallux varus deformity of the great toe of the right foot was diagnosed to have congenital dyserythropoietic anemia on the basis of the hematological (macrocytosis, anisopoikilocytosis, fragmented red cells and erythroblastosis in the peripheral blood, and erythroid hyperplasia with erythroblastosis and erythroblasts with double nuclei and thin chromatin bridges connecting these nuclei in the bone marrow) and serological (negative acidified serum lysis test and no agglutination with anti-i antibodies) findings. In this article the seventh case of neonatal congenital dyserythropoietic anemia presenting with a very severe (lethal) form of hydrops fetalis and a new (hallux varus) deformity of the great toe of the right foot is presented. Congenital dyserythropoietic anemia should be considered in the differential diagnosis of hydrops fetalis presenting with a very severe anemia and a skeletal abnormality of the great toe.- - - - - - - - - - ranking = 1keywords = hallux (Clic here for more details about this article) |
2/3. Extensor hallucis longus tendon rupture repair using a fascia lata allograft.The authors present a case of a traumatic extensor hallucis longus tendon rupture sustained 2 days after hallux valgus and hammer toe correction. The ruptured tendon, separated by a 6-cm defect, was repaired using a fascia lata allograft. This case demonstrates a serious complication of a commonly performed procedure and a salvage technique useful for dealing with large tendon defects.- - - - - - - - - - ranking = 0.5keywords = hallux (Clic here for more details about this article) |
3/3. Minimal incision tenotomy for hallux interphalangeal joint extensus.The spoon-toe hallux deformity causing symptomatic hallux pathology can be corrected through a minimal incision stab tenotomy of the extensor hallucis longus tendon that is usually performed at the level of the interphalangeal joint. This procedure is recommended rather than a traditional tenoplasty because it creates very little disability, successfully reduces the deformity, has low incidence of complications, and produces lasting results in maintaining the correction. The procedure can be used as both a solo procedure or in conjunction with other procedures on the hallux.- - - - - - - - - - ranking = 3.5keywords = hallux (Clic here for more details about this article) |