Hallux Flexus – The Result of Posttraumatic Entrapment of the Flexor Hallucis Longus Tendon in the Tibial Fracture Site

Česká verzia

Authors: R. Burda; R. Morochovič; M. Kitka
Authors place of work: Klinika úrazovej chirurgie, Košice, Slovensko, prednosta prof. Kitka M., Ph. D.
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 7, s. 466-467.
Category: Monothematic special - Original

Summary

Entrapment of flexor hallucis longus after tibial fracture is very rare. We present a case of entrapment of flexor hallucis longus in a case of 36 years old male, who sustain an open tibial fracture. Fracture was stabilised with intramedullary nail. As a conseqence of entrapment of FHL hallux flexus was presented. After release of FHL in musculotendinous junction full range of motion in interphalangaela joint of hallux was obtained .

Key words:
entrapment of flexor hallucis longus – tibial fracture

Zdroje

1. Carr, J. B. Complications of calcaneus fractures entrapment of the flexor hallucis longus: report of two cases. J. Orthop. Trauma, 1990, roč. 4, č. 2, s. 166–168.

2. Waldrop, J., Ebraheim, N. A., Shapiro, P., Jackson, W. T. Anatomical considerations of posterior tibialis tendon entrapment in irreducible lateral subtalar dislocation. Foot Ankle, 1992, roč. 13, č. 8, s. 458–461.

3. Leitschuh, P. H., Zimmerman, J. P., Uhorchak, J. M., Arciero, R. A., Bowser, L. Hallux flexion deformity secondary to entrapment of the flexor hallucis longus tendon after fibular fracture. Foot Ankle Int., 1995, roč. 16, č. 4, s. 232–235.

4. Tosun, B., Akansel, G., Sarlak, A. Y. Traumatic dislocation of the first metatarsophalangeal joint with entrapment of the flexor hallucis longus tendon. J. Foot Ankle Surg., 2008, roč. 47, č. 4, s. 357–361.

5. Rosenberg, G. A., Sferra, J. J. Checkrein deformity – an unusual complication associated with a closed Salter-Harris Type II ankle fracture: a case report. Foot Ankle Int., 1999, roč. 20, č. 9, s. 591–594.

6. Sanhudo, J. A. Stenosing tenosynovitis of the flexor hallucis longus tendon at the sesamoid area. Foot Ankle Int., 2002, roč. 23, č. 9, s. 801–803.

7. McCarroll, J. R., Ritter, M. A., Becker, T. E. Triggering of the great toe. A case report. Clin. Orthop. Relat. Res., 1983, roč. č. 175, s. 184–185.

8. Lo, L. D., Schweitzer, M. E., Fan, J. K., Wapner, K. L., Hecht, P. J. MR imaging findings of entrapment of the flexor hallucis longus tendon. AJR Am. J. Roentgenol., 2001, roč. 176, č. 5, s. 1145–1148.