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Ligamentous injuries of the hallux are rare, and when seen, they are most commonly treated conservatively. Surgical treatment of such injuries is also rare, making reports on the postoperative outcome and complications even less frequent. A case report of a hallux interphalangeal joint (IPJ) lateral collateral ligament tear in a 16-year-old gymnast is presented. Initially, she presented to the clinic with pain in her left hallux. She injured her toe while doing a gymnastic maneuver in which it got stuck and hyperextended. Physical examination revealed pain in her left great toe metatarsophalangeal and IPJs. Her medical history included the diagnosis of Ehlers-Danlos syndrome. She was managed conservatively with a controlled ankle motion boot for 4 weeks. When she returned for follow-up, her physical examination showed increased laxity to the great toe IPJ lateral collateral ligament compared with the other foot. A left foot MRI was done, which showed a complete rupture of the IPJ lateral collateral ligament origin (Figure 1). She underwent surgical intervention 6 weeks following her injury, in which the collateral ligament was repaired with suture anchors along with IP joint pinning to protect the repair (Figure 2). Following surgery, she returned to the clinic because of persistent drainage from a small hole near the incision site. During further incision and débridement, we discovered granulomatous tissue surrounding an embedded suture. The suture was removed, and the wound was irrigated. Following this procedure, the patient recovered fully in 3 weeks. She was provided a home exercise program and returned to gymnastics without limitations, toe pain, or instability. This case demonstrates an interesting complication following collateral ligament repair in the hallux., (Copyright © 2025 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.)

Background: Despite increasing diversity among medical students, pediatric orthopaedic surgery remains underrepresented regarding gender and ethnic diversity. Previous studies highlight notable underrepresentation of women and minorities in orthopaedic subspecialty fellowships., Methods: This study analyzed data from 2013 to 2023 on pediatric orthopaedic surgery fellows, collected through the Accreditation Council for Graduate Medical Education and Graduate Medical Education Consensus. Self-identified race and gender data were used to assess trends over the decade., Results: The analysis included 380 fellows, of whom 62.4% were male and 37.1% were female. Racial distribution showed 62.9% White, 9.2% Asian, 4.5% Hispanic/Latino/Spanish, 4.5% Black/African American, 0% American Indian/Alaskan Native, 0% Native Hawaiian/Pacific Islander, 0.53% multiple race/ethnicity, and 8.4% other. Notably, 37.1% of fellows were non-White., Conclusion: The study reveals persistent gender and racial disparities in pediatric orthopaedic surgery fellowships. Targeted recruitment and support for underrepresented groups, along with systemic changes to address barriers, are crucial for fostering a diverse and inclusive workforce. Enhanced diversity is essential for providing culturally competent care to the diverse patient population., (Copyright © 2025 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.)