A New Method of Functional Tendon Transfer for the Dysfunction of Extensor Hallucis Longus

2002 ◽  
Vol 23 (12) ◽  
pp. 1124-1125 ◽  
Author(s):  
Y.F. Leung ◽  
P.S. Shirley ◽  
O.M. Chung
Keyword(s):  
Surgical Technique ◽  
Tendon Transfer ◽  
Extensor Digitorum Longus ◽  
Extensor Digitorum ◽  
New Method ◽  
Longus Tendon ◽  
Extensor Hallucis Longus ◽  
Second Toe

A surgical technique of functional tendon transfer for the treatment of extensor hallucis longus (EHL) rupture is described. By using the extensor digitorum longus tendon of the second toe, the patient regains active dorsiflexion of the big toe and the deformity of the toe is corrected.

Nontraumatic Chronic Subcutaneous Extensor Digitorum Longus Tendon Rupture in a Recreational Runner

2020 ◽  
Vol 10 (2) ◽  
pp. e0058-e0058
Author(s):  
Kodai Hamaoka ◽  
Kota Watanabe ◽  
Tomoaki Kamiya ◽  
Atsushi Teramoto ◽  
Toshihiko Yamashita
Keyword(s):  
Extensor Digitorum Longus ◽  
Tendon Rupture ◽  
Extensor Digitorum ◽  
Longus Tendon ◽  
Recreational Runner

scholarly journals Direct reconstruction of chronic extensor digitorum longus tendon rupture using interposed scar tissue in the foot

Medicine ◽  
2020 ◽  
Vol 99 (40) ◽  
pp. e22506
Author(s):  
Eui Dong Yeo ◽  
Jong Kyu Han ◽  
Hong Seop Lee ◽  
Sung Hun Won ◽  
Ki Jin Jung ◽  
...  
Keyword(s):  
Extensor Digitorum Longus ◽  
Tendon Rupture ◽  
Scar Tissue ◽  
Extensor Digitorum ◽  
Longus Tendon

scholarly journals A Combined Surgical Approach for Extensor Hallucis Longus Reconstruction: Two Case Reports

2020 ◽  
Author(s):  
Marta Duarte ◽  
Nuno Fradinho
Keyword(s):  
Tendon Transfer ◽  
Case Reports ◽  
Extensor Tendon ◽  
Tendon Injuries ◽  
Combined Approach ◽  
Foot Surgery ◽  
Extensor Hallucis Longus ◽  
Reconstructive Technique ◽  
Delayed Reconstruction ◽  
Second Toe

AbstractThe surgical management of foot tendon injuries is not well-represented in literature. To achieve excellent functional recovery of the extensor hallucis longus (EHL) tendon, we aimed at developing a reliable and feasible reconstructive technique.A surgical technique for delayed reconstruction of the EHL tendon, combining an elongation procedure with second toe extensor tendon transfer, is described in this article.The results of this combined approach for EHL tendon reconstruction were remarkable, since the patients of the two clinical cases reported regained active extension of the hallux after 6 months without any associated complication.This study represents a step forward in foot surgery, since it describes an alternative technique to manage EHL tendon lesions.

scholarly journals Anatomic and Histological Features of the Extensor Digitorum Longus Tendon Insertion in the Proximal Nail Matrix of the Second Toe

Diagnostics ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 147 ◽  
Author(s):  
Patricia Palomo-López ◽  
Marta Elena Losa-Iglesias ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
David Rodríguez-Sanz ◽  
Cesar Calvo-Lobo ◽  
...  
Keyword(s):  
Extensor Digitorum Longus ◽  
Distal Phalanx ◽  
Extensor Digitorum ◽  
Histological Features ◽  
Nail Matrix ◽  
Fresh Frozen ◽  
Human Cadavers ◽  
Digital Surgery ◽  
Tendon Insertion ◽  
Second Toe

Background: Anatomic and histological landmarks of the extensor digitorum longus (EDL) tendon insertion in the proximal nail matrix may be key aspects during surgery exposure in order to avoid permanent nail deformities. Objective: The main purpose was to determine the anatomic and histological features of the EDL’s insertion to the proximal nail matrix of the second toe. Methods: A sample of fifty second toes from fresh-frozen human cadavers was included in this study. Using X25-magnification, the proximal nail matrix limits and distal EDL tendon bony insertions were anatomically and histologically detailed. Results: The second toes’ EDLs were deeply located with respect to the nail matrix and extended superficially and dorsally to the distal phalanx in all human cadavers. The second toe distal nail matrix was not attached to the dorsal part of the distal phalanx base periosteum. Conclusions: The EDL is located plantar and directly underneath to the proximal nail matrix as well as dorsally to the bone. The proximal edge of the nail matrix and bed in human cadaver second toes are placed dorsally and overlap the distal EDL insertion. These anatomic and histological features should be used as reference landmarks during digital surgery and invasive procedures.

scholarly journals PO 18205 - Case report

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 45S
Author(s):  
Rui Dos Santos Barroco ◽  
Antonio Candido de Paula Neto ◽  
Douglas Hideki Ikeuti ◽  
Letícia Zaccaria Prates de Oliveira ◽  
Bruno Rodrigues De Miranda ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Conservative Treatment ◽  
Tendon Transfer ◽  
Tendon Rupture ◽  
Posterior Tibial Tendon ◽  
Longus Tendon ◽  
Posterior Tibial ◽  
Extensor Hallucis Longus ◽  
Anterior Tibial ◽  
Peroneus Brevis

Introduction: Anterior tibial tendon ruptures are quite rare. All studies found in the literature refer to the adult population, with no reports of this injury in the pediatric population. The literature on the treatment of this injury is scarce. Objective: To report the case of a child subjected to peroneus brevis tendon transfer for the sequela of a severe anterior tibial and extensor hallucis longus tendon injury. Methods: Male patient, 8 years of age, was run over by a car and sustained an exposed tibial fracture and major soft-tissue injury of the foot. Anterior tibial, posterior tibial and extensor hallucis longus tendon rupture were detected. Damage control, soft-tissue cover and conservative treatment of the anterior tibial and extensor hallucis longus tendons were initially performed; however, the conservative treatment failed, and valgus deformity and pronation developed. Subsequently, tenoplasty (posterior tibial tendon), the Strayer procedure (gastrocnemius recession of the Achilles tendon) and elongation of the peroneus longus and brevis tendons were also performed, but the patient experienced deformity recurrence. Subcutaneous peroneus brevis tendon transfer to the navicular was then chosen, with postoperative use of an ankle-foot orthosis (AFO) and physical therapy. Results: The deformity was improved. The patient progressed with satisfactory gait and strength. He currently walks without support using an AFO. Both the patient and his family were satisfied with the functional outcome of the tendon transfer. Conclusion: Reconstruction of anterior tibial and extensor hallucis longus tendon rupture through peroneus brevis tendon transfer is a viable and reliable treatment option. No complications such as adhesions or correction failure were observed, thus corroborating the viability of this method.

Closed rupture of the extensor digitorum longus tendon: A case report and biomechanical analysis of rupture mechanism

The Foot ◽  
2007 ◽  
Vol 17 (4) ◽  
pp. 220-223
Author(s):  
Koji Hattori ◽  
Shuji Hiraoka ◽  
Yukako Ishida ◽  
Kazuya Sugimoto ◽  
Yasuhito Tanaka ◽  
...  
Keyword(s):  
Case Report ◽  
Extensor Digitorum Longus ◽  
Extensor Digitorum ◽  
Biomechanical Analysis ◽  
Longus Tendon ◽  
Closed Rupture ◽  
Rupture Mechanism

scholarly journals Extensor Digitorum Longus Tenosynovitis Caused by Talar Head Impingement in an Ultramarathon Runner: A Case Report

2007 ◽  
Vol 15 (2) ◽  
pp. 245-247 ◽  
Author(s):  
H Kobayashi ◽  
M Sakurai ◽  
T Kobayashi
Keyword(s):  
Extensor Digitorum Longus ◽  
Operative Management ◽  
Extensor Digitorum ◽  
Foot And Ankle ◽  
Functional Disturbance ◽  
Longus Tendon ◽  
Talar Head ◽  
Stenosing Tenosynovitis ◽  
Non Operative Management

Stenosing tenosynovitis of the extensor digitorum longus tendon is an injury related to ultramarathon running. A 32-year-old male ultramarathon runner developed chronic tenosynovitis of the ankle dorsiflexors. He was diagnosed with extensor digitorum longus tenosynovitis caused by talar head impingement associated with exostosis. He failed to respond to non-operative management and decided to undergo tenosynovectomy of the extensor digitorum longus tendon. The pain was relieved without functional disturbance of the foot and ankle, and the patient returned to running 3 weeks postoperatively. At the 2-year follow-up, he was participating fully in ultramarathons.

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