The accuracy of an injection technique for Flexor hallucis longus tendon sheath: A cadaveric study

Giant cell tumor of tendon sheath is infrequently documented in the foot and even less near the ankle. This case report involves such a tumor of the flexor hallucis longus tendon presenting at the posterior ankle. Diagnosis was aided by magnetic resonance imaging, and treatment consisted of complete surgical excision. Pathologic examination verified the diagnosis of giant cell tumor of tendon sheath, and follow-up magnetic resonance imaging revealed no remnants or recurrence of tumor 1 year after surgery. (J Am Podiatr Med Assoc 101(2): 187–189, 2011)

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Septic Ankle With Purulence Tracking Up the Flexor Hallucis Longus Tendon Sheath Leading to Deep Venous Thrombosis/Pulmonary Embolism and Compartment Syndrome

Foot & Ankle Specialist ◽

10.1177/1938640014565050 ◽

2014 ◽

Vol 8 (3) ◽

pp. 234-239 ◽

Cited By ~ 3

Author(s):

Gregory R. Waryasz ◽

Philip McClure ◽

Bryan G. Vopat

Keyword(s):

Pulmonary Embolism ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Compartment Syndrome ◽

Tendon Sheath ◽

Flexor Hallucis Longus ◽

Longus Tendon

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Arthroscopic Release of Flexor Hallucis Longus Tendon Sheath in Female Ballet Dancers: Dynamic Pathology, Surgical Technique, and Return to Dancing Performance

Arthroscopy Techniques ◽

10.1016/j.eats.2015.07.025 ◽

2015 ◽

Vol 4 (6) ◽

pp. e769-e774 ◽

Cited By ~ 8

Author(s):

Hiroki Funasaki ◽

Hiroteru Hayashi ◽

Kanako Sakamoto ◽

Rei Tsuruga ◽

Keishi Marumo

Keyword(s):

Surgical Technique ◽

Tendon Sheath ◽

Flexor Hallucis Longus ◽

Ballet Dancers ◽

Longus Tendon ◽

Arthroscopic Release

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Posterior Arthroscopic Treatment of a Massive Effusion in the Flexor Hallucis Longus Tendon Sheath Associated with Stenosing Tenosynovitis and Os Trigonum

Case Reports in Orthopedics ◽

10.1155/2020/6236302 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Ichiro Tonogai ◽

Koichi Sairyo

Keyword(s):

Rare Case ◽

Tendon Sheath ◽

Flexor Hallucis Longus ◽

Great Toe ◽

Os Trigonum ◽

Longus Tendon ◽

Rare Case Report ◽

Stenosing Tenosynovitis ◽

Posterior Ankle Arthroscopy ◽

Massive Accumulation

We report a rare case of massive accumulation of fluid in the flexor hallucis longus tendon sheath with stenosing tenosynovitis and os trigonum. A 34-year-old woman presented to our hospital with pain and swelling in the posteromedial aspect of the left ankle joint after an ankle sprain approximately 8 months earlier. There was tenderness at the posteromedial aspect of the ankle, and the pain worsened on dorsiflexion of the left great toe. Magnetic resonance imaging revealed massive accumulation of fluid around the flexor hallucis longus tendon. We removed the os trigonum, performed tenosynovectomy around the flexor hallucis longus, and released the flexor hallucis longus tendon via posterior arthroscopy using standard posterolateral and posteromedial portals. At 1 week postoperatively, the patient was asymptomatic and able to resume her daily activities. There has been no recurrence of the massive accumulation of fluid around the flexor hallucis longus tendon as of 1 year after the surgery. To our knowledge, this is a rare case report of extreme massive effusion in the flexor hallucis longus tendon sheath with stenosing tenosynovitis and os trigonum treated successfully by removal of the os trigonum, tenosynovectomy around the flexor hallucis longus, and release of the flexor hallucis longus tendon via posterior ankle arthroscopy.

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Chondroma within the flexor hallucis longus tendon sheath

The American Journal of Sports Medicine ◽

10.1177/036354657800600310 ◽

1978 ◽

Vol 6 (3) ◽

pp. 143-146 ◽

Cited By ~ 1

Author(s):

Malcolm A. Brahms ◽

R. Mark Fumich

Keyword(s):

Tendon Sheath ◽

Flexor Hallucis Longus ◽

Longus Tendon

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Transplantation with Allograft for Rupture of the Flexor Hallucis Longus Tendon with Subsequent Longitudinal Tear of the Flexor Digitorum Longus Tendon at the Master Knot of Henry

Journal of the American Podiatric Medical Association ◽

10.7547/0003-0538-104.5.508 ◽

2014 ◽

Vol 104 (5) ◽

pp. 508-513 ◽

Cited By ~ 1

Author(s):

John F. Grady ◽

Yelena Boumendjel ◽

Ngan T. Nguyen ◽

Autumn Caldwell

Keyword(s):

Full Range ◽

Tendon Sheath ◽

Flexor Hallucis Longus ◽

Posterior Tibial Tendon ◽

Flexor Digitorum Longus ◽

Longus Tendon ◽

First Case ◽

Active Flexion ◽

Flexor Digitorum ◽

Longitudinal Tear

A rare case of closed complete rupture of the flexor hallucis longus tendon with subsequent longitudinal tear of the flexor digitorum longus tendon is reported in a marathon runner. This is also a first case report of flexor hallucis longus transplant with cadaveric posterior tibial tendon allograft. Two minimal incisions distal and proximal to the malleolus allowed for tunneling with urethral dilators to open the tendon sheath for transplantation, avoiding the need for a large incision. Postoperatively, the patient regained active flexion at the interphalangeal joint of the left hallux. Four months after surgery, full range of motion was observed and dynamometric exam revealed 68% of the strength of the contralateral side. The patient was able to resume competitive running after the surgery and performed well in her age bracket.

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