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Drop Hallux Due to an Osteoclastoma: A Big Toe Issue

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The following report describes the occurrence of an isolated drop toe secondary to a giant cell tumour (GCT). This is rarely reported in the medical literature. This pathology affected the patient’s functionality and activities of daily living. We present the case of a 15 year old school girl with a delayed diagnosis of drop toe. The patient had decreased function due to gait disturbance. There was a delay in diagnosis until a swelling was noticed in the proximal posterior lateral aspect of the leg after loss of extensor hallucis longus (EHL) function had already occurred. The parent carried child to obtain orthopedic specialist care three months after initial drop toe complaint. After the clinical diagnosis was made, the appropriate investigations were ordered to stage the tumour. Definitive treatment involved wide local excision and reattachment of lateral collateral ligament with suture anchors. Follow up entailed orthotic usage, physiotherapy and gait re-training. The occurrence, patho-physiology, treatment and outcome are discussed below.

27 Apr, 2015
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e-Published: 05 Nov, 2015


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