What Is a Flexion Contracture?

Toe flexion contracture is a symptom and there are several reasons. In addition to the common causes of calf muscle contractures, it can also be caused by internal muscle contractures of the feet.

Toe flexion contracture

Toe flexion contracture causes severe swelling of the foot, such as contusion of soft tissue, fracture of calcaneus and metatarsal bone, etc., which can cause ischemia and necrosis of the internal muscles of the foot, followed by unique toe deformities.

Affected area

Limbs

Related diseases

Fracture calcaneus fracture talus fracture posterior external nodule fracture congenital abduction hip contracture congenital multiple joint contracture patella fatigue fracture sacrum, toe fracture patella fracture scaphoid fracture senile contracture congenital hip abduction contracture and Pelvic tilt

Related symptoms

Simple fracture muscle soreness cross-threshold gait valgus toe ptosis claw-toe foot deformity toe flexion contracture toe extension and flexion foot pain

Affiliated Department

Other departments

Related inspections

CT examination of bones, joints and soft tissues

Toe flexion contracture is a symptom and there are several reasons. In addition to the common causes of calf muscle contractures, it can also be caused by internal muscle contractures of the feet.

Traumatic injuries that cause severe swelling of the foot, such as contusion of the soft tissue, fractures of the calcaneus and sacrum, can cause ischemia and necrosis of the internal muscles of the foot, followed by unique toe deformities. Among them, the deepest muscles of the foot are most likely to be affected, such as the adducted thumb muscle. Its contracture can pull the toe to the back of or under the second toe, which makes it uncomfortable to wear shoes and walk.

Pain during toe extension and flexion: Symptoms of scaphoid fracture. Pain in toe extension is significant. The medial sacroiliac joint, which is composed of the scaphoid bone, wedge bone, and dice bone, is also called the sacroiliac transverse joint, which is easy to cause dislocation due to trauma. Although these bone fractures are not common, they are not rare. About 0.3% of systemic fractures should still be noted.

Congenital valgus foot valgus: A common postural foot deformity, characterized by full foot dorsiflexion and valgus. There are more women than men, with a ratio of about 1: 0.6.

Claw-shaped toe: The toe is claw-shaped. This toe deformation will affect the three joints of the toe. Due to the imbalance of muscle or nerve tension, the palm-toe joint is overextended, and the proximal and distal interphalangeal joints are deformed. After birth, the child can be found with dorsiflexion and valgus deformity. In severe cases, the back of the foot can contact the skin in front of the tibia (Figure 1). At the same time, the plantar flexion and varus motion of the foot is restricted due to the increase in the dorsal and lateral soft tissue tension.

Toe ptosis: ascending symmetrical peripheral neuritis, sensory and dyskinesia, decreased muscle strength, and muscle soreness especially in the gastrocnemius muscle. In some cases, foot ptosis and toe ptosis occur, and a cross-threshold gait during walking.

Traumatic injuries that cause severe swelling of the foot, such as contusion of the soft tissue, fractures of the calcaneus and sacrum, can cause ischemia and necrosis of the internal muscles of the foot, followed by unique toe deformities. Among them, the deepest muscles of the foot are most likely to be affected, such as the adducted thumb muscle. Its contracture can pull the toe to the back of or under the second toe, which makes it uncomfortable to wear shoes and walk.

At this time, loosening should be performed, and spinal anesthesia is appropriate. The operation is under the control of a tourniquet. An oblique incision is made on the dorsal side of the toe metatarsophalangeal joint. A contracted and tightened adductor hallucis can be found on the outside of the proximal phalanx base Dead center tendon. After the severing, the deformity can be fully released and the deformity can be corrected. If the deformity is not corrected, the metatarsophalangeal joint capsule can be partially opened on the outside, and it can be braked for 2 weeks after surgery. I am very satisfied with the function recovery. Contractures of the interosseous and vermiform muscles can flex the metatarsophalangeal joints and overextend the interphalangeal joints. Because the toe function is severely affected, tendon amputation and metatarsophalangeal incision of the metatarsophalangeal joint capsule can be used to fully correct the deformity.