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.

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.

RELEASE OF THE FLEXOR HALLUCIS LONGUS TENDON IN BALLET DANCERS

1997 ◽  
Vol 17 (2) ◽  
pp. 273
Author(s):  
G. J. Kolettis ◽  
L. J. Micheli ◽  
J. D. Klein
Keyword(s):  
Flexor Hallucis Longus ◽  
Ballet Dancers ◽  
Longus Tendon

A Previously Unreported Etiology of Trigger Toe

2006 ◽  
Vol 96 (4) ◽  
pp. 356-358
Author(s):  
Korhan Ozkan ◽  
Bora Goksan ◽  
Feyza Unlu Ozkan ◽  
Kerem Bilsel ◽  
Bilge Bilgic ◽  
...  
Keyword(s):  
Medial Malleolus ◽  
Flexor Hallucis Longus ◽  
Tarsal Tunnel ◽  
Rare Entity ◽  
Ballet Dancers ◽  
Longus Tendon ◽  
Extensor Hallucis Longus

Trigger toe is a rare entity, with only a few cases reported in the literature. It is usually seen in ballet dancers as a result of compression of the flexor hallucis longus tendon in the tarsal tunnel beneath the medial malleolus. We report a case of trigger toe due to a constricting lesion on the extensor hallucis longus tendon. (J Am Podiatr Med Assoc 96(4): 356–358, 2006)

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.

RELEASE OF THE FLEXOR HALLUCIS LONGUS TENDON IN BALLET DANCERS

1997 ◽  
Vol 17 (2) ◽  
pp. 273
Author(s):  
G. J. Kolettis ◽  
L. J. Micheli ◽  
J. D. Klein
Keyword(s):  
Flexor Hallucis Longus ◽  
Ballet Dancers ◽  
Longus Tendon

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.

scholarly journals Is there any effect of presence and size of os trigonum on flexor hallucis longus tendon lesions?

2020 ◽  
Vol 26 (4) ◽  
pp. 469-472 ◽  
Author(s):  
Mehmet Ali Tokgöz ◽  
Muhammet Baybars Ataoğlu ◽  
Yılmaz Ergişi ◽  
Hasan Hüseyin Bozkurt ◽  
Ulunay Kanatlı
Keyword(s):  
Flexor Hallucis Longus ◽  
Os Trigonum ◽  
Longus Tendon
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