What question did this study set out to answer?

To explore the effectiveness of flexor digitorum longus tenotomy in managing tonic toe flexion reflex.

March 29, 2026Clinical Case Reports0 citationsOpen Access

Successful Surgical Management of Tonic Toe Flexion Reflex by Tenotomy of the Flexor Digitorum Longus Tendon Under Wide‐Awake Local Anesthesia: A Case Report

YTYoichi Toyoshima SLSang Yang LeeTeine Keijinkai Hospital YKYoshifumi KudoShowa University

Key Points

To explore the effectiveness of flexor digitorum longus tenotomy in managing tonic toe flexion reflex.
Conducted a surgical procedure under wide-awake local anesthesia.
Performed tenotomy of the flexor digitorum longus tendon.
Real-time assessment of symptom resolution during the surgery.
Achieved successful correction of dynamic toe deformity during weight-bearing.
Validated the procedure's effectiveness through immediate symptom resolution.

Abstract

ABSTRACT The tonic toe flexion reflex may present as a dynamic toe deformity only during weight‐bearing and can be overlooked. Flexor digitorum longus tenotomy under wide‐awake local anesthesia allows real‐time confirmation of symptom resolution and represents a practical surgical option when conservative treatment fails.

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Cite This Study

Toyoshima et al. (Fri,) studied this question.

synapsesocial.com/papers/69c8c2a4de0f0f753b39d0d8 https://doi.org/https://doi.org/10.1002/ccr3.72379

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