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What is the preferred treatment of a symptomatic curly toe deformity in a 6-year-old child?
Tape the toe to the adjacent toes for 8 weeks
Tenotomy of the flexor tendons
Transfer of the flexor tendons to the extensor mechanism
Arthrodesis of the proximal interphalangeal joint
Select Answer to see Preferred Response
An 8 month-old girl is brought in to your clinic by her mother for a second opinion of her daughter's congenital deformity seen in Figures A and B. The mother reports that the first surgeon recommended an open tenotomy of one slip of the flexor digitorum brevis (FDB) tendon, dissection of the collateral ligament and the volar plate, and reconstruction of the plantar skin defect. What is your recommendation to the patient's mother for treatment of the congenital curly toe?
Flexor digitorum longus (FDL) transfer to the extensor side
Open tenotomy of one slip of the flexor digitorum brevis (FDB) tendon only
Toe strapping with tape
Open tenotomy of both slips of the flexor digitorum brevis (FDB) and FDL tendon