case_images: PMC6727443_01
case_images: Presenting swelling and deformity. Initial clinical photographs revealing an enlarged right foot.
case_images: JOCR-9-34-g001.jpg
case_images: PMC6727443_01_JOCR-9-34-g001.jpg
case_images: F1
case_images: Non-tender enlargement was noted on all aspects of her right mid and forefoot with the second and third hammer toe deformities (Fig. 1).
case_images: Pre-operative X-ray. Pre-operative three view radiographs of the right foot revealing normal bony anatomy and an enlarged soft tissue envelope.
case_images: JOCR-9-34-g002.jpg
case_images: PMC6727443_01_JOCR-9-34-g002.jpg
case_images: F2
case_images: Radiographs revealed normal bony anatomy (Fig. 2).
case_images: Pre-operative magnetic resonance imaging (MRI). MRI images demonstrating hypertrophy of all foot intrinsic muscles of the right foot.
case_images: JOCR-9-34-g003.jpg
case_images: PMC6727443_01_JOCR-9-34-g003.jpg
case_images: F3
case_images: Amagnetic resonance imaging (MRI) was obtained revealing significant hypertrophy of all intrinsic muscles in the foot (Fig. 3).
case_images: Post-operative X-ray. Post-operative radiographs at 6 weeks after pin removal which reveal improved alignment of the second and third toes with fusion of the proximal interphalangeal joints.
case_images: JOCR-9-34-g004.jpg
case_images: PMC6727443_01_JOCR-9-34-g004.jpg
case_images: F4
case_images: At 4-month follow-up, the patient was pain free with no complaints and she was able to bear weight, ambulate, and complete her activities of daily living without issue (Fig. 4.).
case_images: Clinical outcome after surgical correction. Clinical photographs at 21-month follow-up revealing improved toe alignment and well-healed surgical incisions.
case_images: JOCR-9-34-g005.jpg
case_images: PMC6727443_01_JOCR-9-34-g005.jpg
case_images: F5
case_images: At 21-month follow-up, the patient was very satisfied with her toe positions and reported a decrease in pain on VAS to a resting level of zero and level of zero to three with prolonged activity, including running, which localized to the second and third digit (Fig. 5).