Trigger Hallux: A Rare Case of Stenosing Tenosynovitis of Flexor Hallucis Longus in a Ballet Dancer (Hallux Saltans)

Triggering of the big toe is an uncommon presentation. Here we present a case of a ballet dancer complaint of pain along the posteromedial aspect of the left ankle, associated with triggering of her big toe. To our knowledge, there have not been any reports on the above condition in our region. With changing of lifestyle and demand of the population, clinicians should be aware of this, therefore appropriate management and treatment can be given

TOTAL ANKLE REPLACEMENT FOR TREATMENT OF AVASCULAR NECROSIS OF THE TALUS

Avascular necrosis (AVN) of talus is a well-known complication following talar neck fracture that leads to osteoarthritis of the ankle joint. Tibiotalar fusion is the gold standard of treatment in end-stage ankle osteoarthritis with predictable good outcome. With the introduction of newer generation of total ankle replacement (TAR), it is gaining popularity as an alternative treatment in selected cases of ankle joint osteoarthritis secondary to AVN talus. We present here a case of ankle joint osteoarthritis secondary to AVN talus in a 30-year-old female in which a TAR was performed. We wish to highlight that TAR can be done in ankle joint osteoarthritis with AVN talus in properly selected cases

High sural nerve trifurcation: a rare anatomical variation

The sural nerve is a commonly encountered anatomical structure in foot and ankle surgeries. Knowledge of its location and course is imperative in performing surgeries within its vicinity to avoid neurological deficits. We herein report a rare anatomical variation of the sural nerve where it trifurcates above the level of the lateral malleolus that was discovered in a patient who underwent internal fixation for a trimalleolar ankle fracture with ipsilateral navicular fracture. This study aimed to raise awareness on a unique anatomical variation of the sural nerve in order to reduce the risk of iatrogenic injury