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.

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.

Endoscopic treatment for intratendinous ganglion of the flexor hallucis longus tendon

2018 ◽  
Vol 23 (1) ◽  
pp. 190-193 ◽  
Author(s):  
Yoshiharu Shimozono ◽  
Masato Takao ◽  
Wataru Miyamoto ◽  
Youichi Yasui ◽  
Hirotaka Kawano
Keyword(s):  
Endoscopic Treatment ◽  
Flexor Hallucis Longus ◽  
Longus Tendon

scholarly journals TL 18168 - Effect of obesity on the functional outcome of flexor hallucis longus tendon transfer surgery in patients with Achilles tendinopathy

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 99S
Author(s):  
Henrique Mansur ◽  
Thomás Almeida de Sousa Nogueira ◽  
Juan Benitez ◽  
Isnar Moreira de Castro Júnior
Keyword(s):  
Functional Outcomes ◽  
Tendon Transfer ◽  
Plantar Flexion ◽  
Achilles Tendinopathy ◽  
Flexor Hallucis Longus ◽  
Foot And Ankle ◽  
Aofas Score ◽  
Longus Tendon ◽  
Significant Difference ◽  
Nonobese Patients

Introduction: Several factors, including diabetes and smoking, increase the risk of and predisposition for complications of foot and ankle surgeries; however, studies assessing the effects of obesity remain scarce. The objective of this study is to assess the effects of obesity on functional outcomes of flexor hallucis longus (FLH) tendon transfer surgery in patients with chronic Achilles tendinopathy. Methods: A retrospective study was performed with patients aged 18 years or older who underwent FHL tendon transfer between March 2010 and May 2015. The characteristics recorded were sex, age, body mass index (BMI), American Orthopedic Foot and Ankle Society (AOFAS) score, Foot and Ankle Outcome Score (FAOS) and ankle plantar flexion and dorsiflexion strength, assessed using an isokinetic dynamometer. Results: The sample had 24 participants (13 women and 11 men) with a mean age of 55.7 years; among them, 13 were obese (BMI>=30), and 11 were nonobese (BMI<30). After a mean follow-up time of 66 months, the FAOS of the sample increased from 28 to 91 points (p=0.000). No significant difference in the postoperative AOFAS score or FAOS was found between the subgroups (p>0.05), with values of 83 and 86.7 points (AOFAS) and 92.72 and 90 points (FAOS) for obese and nonobese patients, respectively. The comparison of the strength of each motion revealed no significant difference (p>0.05) between subgroups. There was no association between BMI and postoperative functional outcomes (AOFAS score and FAOS) (p>0.05) or correlation between BMI and the strength of the operated ankles. Conclusion: Our findings indicate that flexor hallucis longus tendon transfer surgery in Achilles tendinopathy is effective for obese and nonobese patients based on the AOFAS and FAOS scores and dynamometry results.

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 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.

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.

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 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.

Accessory Flexor Digitorum Longus Presenting as Tarsal Tunnel Syndrome

2011 ◽  
Vol 4 (6) ◽  
pp. 379-382 ◽  
Author(s):  
William E. Saar ◽  
Jennifer Bell
Keyword(s):  
Treatment Options ◽  
Flexor Hallucis Longus ◽  
Tarsal Tunnel ◽  
Foot And Ankle ◽  
Tarsal Tunnel Syndrome ◽  
Therapeutic Level ◽  
Ankle Pain ◽  
Level Of Evidence ◽  
Tunnel Syndrome ◽  
Flexor Digitorum

The flexor digitorum accessory longus (FDAL) muscle is one of the most commonly encountered anomalous muscles in the foot and ankle. Literature has documented the prevalence of the FDAL anywhere from 4% to 12%, based on cadaveric limb dissection. The variability of the origin, insertion, size, and location of the FDAL muscle can cause a wide array of foot and ankle pathologies, most notably, tarsal tunnel syndrome and flexor hallucis longus syndrome. Accessory musculature should be included in the list of differential diagnoses for foot and ankle pain until proven otherwise. This report presents a patient who exhibited pain localized to the medial malleolar region and was initially diagnosed with likely tarsal tunnel syndrome. On magnetic resonance imaging, a FDAL muscle was identified and shown to be impinging on the posterior medial anatomic structures. The patient underwent excision of the FDAL and is symptom free to date. The discussion of this case report can prompt foot and ankle surgeons to be more aware of this infrequent finding as well as treatment options. Level of Evidence: Therapeutic, Level IV

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