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Hallux extensus is a persistent dorsiflexion of the first metatarsophalangeal joint. Apart from many other causes, it can also be caused by contracture of the extensor hallucis longus muscle, in our case resulting from surgical treatment of crural fracture. The authors present the case of a 17-year-old soccer player who sustained a fracture of both shin and calf bone during a soccer match and underwent surgical treatment with intramedullary nailing. While compartment syndrome wasn't observed, a postoperative complication in the form of progressive development of a dynamic type of hallux extensus was reported. The reason behind this complication was later found to be the interaction of the osteosynthesis material with the extensor hallucis longus muscle, which led to its scarring and shortening. A Z-lengthening of the musculus extensor hallucis longus tendon was indicated and performed with a good clinical outcome. During surgery, an anatomical variation in the course of the extensor hallucis longus was observed, which had to be taken into account to achieve a successful surgical outcome. Key words: cock-up big toe deformity, musculus extensor hallucis longus contracture, Z-lengthening tenotomy, crural fracture complication.

Objective: To examine whether women´s well-being and coping strategies are associated with IVF outcomes., Design: Prospective study., Setting: Centre of assisted reproduction Sanus, Pardubice; PPCHC s.r.o. Hradec KrálovéMethods: Study included these methods of data collection; Psychological well-being was mesured by Dotazník životní spokojenosti (Questionnaire of well-being,n = 103) and coping strategies were mesured by COPE Invetory (n = 82). In the years 2010-2013 women attending their first cycle IVF/ICSI (younger than 35 years) were asked to fill in the psychological questionnaires prior to collection of oocytes. Then the result of IVF/ICSI was observed - a clinically recognized pregnancy. We compared general well-being, satisfaction with their own health, marital satisfaction and emotion focused coping strategies: Acceptance, Positive reinterpretation and Seeking of emotional social support, between pregnant and non-pregnant women., Results: There were no statistically significant differences between women who became pregnant and those who did not in general well-being (t = -0.9,p = 0.37), satisfaction with their own health (t = -0.6, p = 0.52), marital satisfaction (t = -0.8, p = 0.44), use of Acceptance (t = 0.9 , p = 0.36) and Positive reinterpretation (t = -0.8, p = 0.43). The only factor that was significantly associated with pregnancy outcome was Seeking of emotional social support (t = 2.3, p = 0.02)., Conclusion: We found no evidence that psychological well-being had any influence on the outcome of IVF/ICSI treatment. In case of emotion focused coping we found that women who became pregnant used significantly more often strategy called Seeking of emotional social support than women who remained nonpregnant.