scholarly journals Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Song Ho Chang ◽  
Takumi Matsumoto ◽  
Masashi Naito ◽  
Sakae Tanaka
Keyword(s):  
Surgical Resection ◽  
Interphalangeal Joint ◽  
Flexor Hallucis Longus ◽  
Great Toe ◽  
Longus Tendon ◽  
Stenosing Tenosynovitis ◽  
Accessory Ossicle

This report presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon associated with the plantar capsular accessory ossicle at the interphalangeal joint of the great toe, which was confirmed by intraoperative observation and was successfully treated with surgical resection of the ossicle. As the plantar capsular accessory ossicle was not visible radiographically due to the lack of ossification, ultrasonography was helpful for diagnosing this disorder.

Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon at the Sesamoid Area

2002 ◽  
Vol 23 (9) ◽  
pp. 801-803 ◽  
Author(s):  
José Antônio Veiga Sanhudo
Keyword(s):  
Successful Treatment ◽  
Early Recognition ◽  
Nonoperative Treatment ◽  
Flexor Hallucis Longus ◽  
Great Toe ◽  
Ballet Dancers ◽  
Longus Tendon ◽  
Stenosing Tenosynovitis

The author presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon at the sesamoid area of the great toe following injury of the hallux. Although stenosing tenosynovitis of the flexor hallucis longus tendon is not rare, occurring frequently in ballet dancers, its entrapment at the sesamoid area was rarely described in the literature. Early recognition of this condition is very important for successful treatment. This patient did not respond to nonoperative treatment and surgical tenolysis was very successful for relief of the symptoms.

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

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.

Hallux interphalangeal joint sesamoidectomy

1996 ◽  
Vol 86 (3) ◽  
pp. 105-111 ◽  
Author(s):  
GV Yu ◽  
CJ Nagle
Keyword(s):  
Surgical Excision ◽  
Interphalangeal Joint ◽  
Flexor Hallucis Longus ◽  
Great Toe ◽  
Postoperative Result ◽  
Longus Tendon ◽  
Advantages And Disadvantages ◽  
Plantar Aspect

Painful lesions on the plantar aspect of the interphalangeal joint of the great toe respond well to surgical excision of the accessory bone found lying superior to or within the flexor hallucis longus tendon. Several incisional approaches are available, each with potential advantages and disadvantages. Failure to consider each incisional approach and address concomitant deformities may result in a less than desirable postoperative result.

Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon at the Great Toe

Foot & Ankle ◽  
1981 ◽  
Vol 2 (1) ◽  
pp. 46-48 ◽  
Author(s):  
Nathaniel Gould
Keyword(s):  
Surgical Approach ◽  
Early Recognition ◽  
Causative Factor ◽  
Tendon Sheath ◽  
Flexor Hallucis Longus ◽  
Great Toe ◽  
Longus Tendon ◽  
The Past ◽  
Stenosing Tenosynovitis

The purpose of this paper is to call attention to the previously overlooked entity, stenosing tenosynovitis of the flexor hallucis longus tendon in the sesamoid area of the great toe. Nine patients have been tabulated and successfully treated during the past 4 years, with an average 2½-year follow-up. Trauma seems to be the causative factor. Five cases had accompanying pathology. Three cases responded to inflation of the tendon sheath with 1% lidocaine anesthesia, but the remainder required tenolysis of the sheath plus surgery to the accompanying pathology for relief. Early recognition of this problem and prompt inflation with lidocaine may be the only required treatment if this is the only entity. Chronic cases will respond to tenolysis. A plantar full visualization surgical approach is recommended.

Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon and Posterior Impingement upon the Os Trigonum in Ballet Dancers

Foot & Ankle ◽  
1982 ◽  
Vol 3 (2) ◽  
pp. 74-80 ◽  
Author(s):  
William G. Hamilton
Keyword(s):  
Lateral Approach ◽  
Flexor Hallucis Longus ◽  
Mechanism Of Injury ◽  
Dance Class ◽  
Os Trigonum ◽  
Ballet Dancers ◽  
Longus Tendon ◽  
Surgical Access ◽  
Posterior Impingement ◽  
Stenosing Tenosynovitis

The problems of flexor hallucis tendonitis and os trigonum syndrome in dancers are presented. The mechanism of injury, diagnosis, treatment, and rehabilitation are outlined. Pitfalls in diagnosis are discussed as well as prognosis for return to dance class and the stage. The best surgical access to the os trigonum is a lateral approach.

Closed Rupture of the Flexor Hallucis Longus Tendon in a Long Distance Runner: Report of a Case and Review of the Literature

1994 ◽  
Vol 15 (8) ◽  
pp. 433-436 ◽  
Author(s):  
Michael M. Romash
Keyword(s):  
Metatarsal Head ◽  
Distance Runner ◽  
Flexor Hallucis Longus ◽  
Great Toe ◽  
Long Distance ◽  
Unique Case ◽  
Longus Tendon ◽  
Closed Rupture ◽  
Pull Through ◽  
Head Level

A unique case report of rupture of the flexor hallucis longus tendon at the great toe metatarsal head level is reported in a well-trained marathon runner. The literature regarding interruptions of the flexor hallucis longus tendon is reviewed. There is an identifiable trend: Closed ruptures of the tendons when repaired, do not permit pull-through of the tendon, whereas open lacerations have some potential to restore this function.

scholarly journals Endoscopic treatment of trigger toe

2019 ◽  
Vol 13 (1) ◽  
pp. 83-86
Author(s):  
Igor Damasceno Assunção Araújo ◽  
Inácio Diogo Asaumi ◽  
Alfonso Apostólico Netto ◽  
Donato Lo Turco
Keyword(s):  
Effective Treatment ◽  
Endoscopic Treatment ◽  
Flexor Hallucis Longus ◽  
Foot And Ankle ◽  
Analog Scale ◽  
Surgical Morbidity ◽  
Level Of Evidence ◽  
Longus Tendon ◽  
Endoscopic Release ◽  
Stenosing Tenosynovitis

Trigger toe is a stenosing tenosynovitis characterized by the prominence of the flexor hallucis longus tendon. Endoscopic release of this tendon in the posterior region of the ankle has been described. In this study, we report the case of a patient with hallux saltans who underwent endoscopic release of the flexor hallucis longus tendon with significant improvement in a visual analog scale for pain and the American Orthopedic Foot and Ankle Society score. Tendoscopy is an effective treatment for hallux saltans, with lower surgical morbidity as well as painless and rapid recovery. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Hallux Flexion Deformity Secondary to Entrapment of the Flexor Hallucis Longus Tendon after Fibular Fracture

1995 ◽  
Vol 16 (4) ◽  
pp. 232-235 ◽  
Author(s):  
Paul H. Leitschuh ◽  
Jeffrey P. Zimmerman ◽  
John M. Uhorchak ◽  
Robert A. Arciero ◽  
Lloyd Bowser
Keyword(s):  
Internal Fixation ◽  
Ankle Fracture ◽  
Open Reduction ◽  
Interphalangeal Joint ◽  
Joint Contracture ◽  
Flexor Hallucis Longus ◽  
Foot And Ankle ◽  
Flexion Deformity ◽  
Longus Tendon ◽  
Fibular Fracture

This article presents a case of entrapment of the flexor hallucis longus tendon after open reduction and internal fixation of a Weber C ankle fracture resulting in interphalangeal joint contracture of the hallux. Pathology involving other tendons at the foot and ankle associated with ankle fractures is reviewed. Other scenarios of flexor hallucis longus pathology are discussed. Flexor hallucis longus anatomy, as related to distal fibular fractures, is outlined, and a recommendation is made to consider flexor hallucis longus entrapment as a cause of hallux dysfunction after open reduction and internal fixation of an ankle fracture.

Partial Rupture of the Flexor Hallucis Longus Tendon in a Tennis Player: A Case Report

1995 ◽  
Vol 16 (4) ◽  
pp. 227-231 ◽  
Author(s):  
Elly Trepman ◽  
Mark S. Mizel ◽  
Arthur H. Newberg
Keyword(s):  
Muscle Fibers ◽  
Scar Tissue ◽  
Nonoperative Treatment ◽  
Flexor Hallucis Longus ◽  
Great Toe ◽  
Partial Rupture ◽  
Longus Tendon ◽  
Operative Findings ◽  
The Right ◽  
Flexor Digitorum

A 39-year-old woman sustained a forced dorsiflexion injury to the left great toe while pivoting to the right during tennis activity. Posteromedial ankle pain was reproduced with active plantarflexion and passive dorsiflexion of the great toe and, to a smaller extent, the lesser toes. Symptoms persisted for 9 months despite nonoperative treatment. Magnetic resonance imaging 5 months after injury revealed evidence of fluid surrounding the flexor hallucis longus (FHL) tendon. Operative findings 9 months after injury included scar tissue and tenosynovitis of the FHL and flexor digitorum longus tendon sheaths, with impingement of distal FHL muscle fibers and a longitudinal split tear (partial rupture) of the FHL tendon. Tenolysis, tenosynovectomy, excision of the distal muscle fibers, and repair of the partial tendon rupture were performed, resulting in resolution of symptoms. Partial rupture of the FHL tendon as a single-impact injury, or in activity other than ballet, has not been documented previously.

Sign in / Sign up

Export Citation Format

Share Document