Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report

Hallux varus presents with midline deviation of the hallux at the first metatarsophalangeal joint. If left untreated, it may lead to pain and difficulty with normal daily activities. Here, we present a case of spontaneous hallux varus in an 84-year-old female treated non-operatively with injection o...

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Detalles Bibliográficos
Autores principales: Gottlich, Caleb, Murphy, Alexandria, Jain, Neil, Grimes, Jerry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390077/
https://www.ncbi.nlm.nih.gov/pubmed/37528913
http://dx.doi.org/10.1093/jscr/rjad423
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author Gottlich, Caleb
Murphy, Alexandria
Jain, Neil
Grimes, Jerry
author_facet Gottlich, Caleb
Murphy, Alexandria
Jain, Neil
Grimes, Jerry
author_sort Gottlich, Caleb
collection PubMed
description Hallux varus presents with midline deviation of the hallux at the first metatarsophalangeal joint. If left untreated, it may lead to pain and difficulty with normal daily activities. Here, we present a case of spontaneous hallux varus in an 84-year-old female treated non-operatively with injection of botulinum toxin in the Abductor Hallucis Brevis. Ultrasound guidance with electromyography was used to assist in all injections. Near total symptomatic relief and resumption of daily activities was obtained for up to 12 weeks at a time. Radiographic correction seen was improvement from 14° to 7° on weight bearing radiographs. After five rounds of treatment, no adverse reactions had been observed.
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spelling pubmed-103900772023-08-01 Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report Gottlich, Caleb Murphy, Alexandria Jain, Neil Grimes, Jerry J Surg Case Rep Case Report Hallux varus presents with midline deviation of the hallux at the first metatarsophalangeal joint. If left untreated, it may lead to pain and difficulty with normal daily activities. Here, we present a case of spontaneous hallux varus in an 84-year-old female treated non-operatively with injection of botulinum toxin in the Abductor Hallucis Brevis. Ultrasound guidance with electromyography was used to assist in all injections. Near total symptomatic relief and resumption of daily activities was obtained for up to 12 weeks at a time. Radiographic correction seen was improvement from 14° to 7° on weight bearing radiographs. After five rounds of treatment, no adverse reactions had been observed. Oxford University Press 2023-07-31 /pmc/articles/PMC10390077/ /pubmed/37528913 http://dx.doi.org/10.1093/jscr/rjad423 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gottlich, Caleb
Murphy, Alexandria
Jain, Neil
Grimes, Jerry
Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
title Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
title_full Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
title_fullStr Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
title_full_unstemmed Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
title_short Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
title_sort use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390077/
https://www.ncbi.nlm.nih.gov/pubmed/37528913
http://dx.doi.org/10.1093/jscr/rjad423
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