ReviewCureus2026
Surgical Level Selection in Checkrein Syndrome: A Pathology-Oriented Approach to Flexor Hallucis Longus Lengthening.
Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Checkrein syndrome presents as a dynamic flexion deformity of the hallux that varies with ankle position and may occur after trauma. Surgical management has traditionally focused on proximal intervention targeting the flexor hallucis longus; however, inconsistent outcomes and recurrence indicate that a single-mechanism explanation may be insufficient. This narrative review proposes a pathology-oriented framework for surgical level selection based on a dual-mechanism concept distinguishing proximal tethering from distal intertendinous coupling at the knot of Henry. Within this framework, deformity patterns are interpreted in relation to both the origin and transmission of pathological tension, including propagation to the lesser toes via distal coupling. Surgical level selection should therefore be guided by the underlying pathological mechanism rather than a uniform strategy. A pathology-oriented approach based on deformity pattern and dynamic findings offers a practical basis for optimizing surgical outcomes and reducing recurrence.
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Registered trials
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