J Korean Foot Ankle Soc.  2024 Jun;28(2):71-74. 10.14193/jkfas.2024.28.2.71.

Bilateral Checkrein Deformities of the Hallux Following Intramuscular Sarcoidosis: A Case Report

• Kyung MG
• Yun S
• Lee DY

• KMID: 2556557
• DOI: http://doi.org/10.14193/jkfas.2024.28.2.71

Abstract

This report presents a unique case of checkrein deformities in both halluces following isolated intramuscular sarcoidosis, a rare occurrence given the infrequent musculoskeletal involvement in sarcoidosis. Typically resulting from flexor hallucis longus tendon entrapment by scar tissue post-trauma, the checkrein deformity reported in this paper presented with unusual metatarsophalangeal joint flexion and interphalangeal joint extension during ankle dorsiflexion. A 49-year-old woman with a history of intramuscular sarcoidosis presented with a great toe deformity and discomfort while wearing shoes, leading to a diagnosis of dynamic deformity, possibly attributed to tendon tethering by sarcoidosis. Surgical treatments, including abductor hallucis muscle intratendinous tenotomy, flexor hallucis longus Zplasty lengthening, Weil osteotomy, and Kirschner wire fixation, significantly improved the functional scores and patient discomfort. This report underscores the importance of recognizing dynamic deformities and the potential for rare diseases, such as sarcoidosis, to cause such conditions, highlighting the need for careful diagnosis and tailored surgical intervention for atypical checkrein deformities.

Keyword

Checkrein deformities; Hallux; Sarcoidosis

Figure

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  Figure 1 Preoperative (A) anteroposterior and (B) lateral medical photos.

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  Figure 2 Preoperative standing (A) anteroposterior and (B, C) lateral radiographs.

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  Figure 3 Identified master knot of Henry.

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  Figure 4 Postoperative (A) anteroposterior and (B, C) lateral medical photos at the final follow-up.

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  Figure 5 Postoperative standing (A) anteroposterior and (B, C) lateral radiographs at the final follow-up.

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