Flexor hallucis longus dysfunction: an overview

Schulhofer, S. David; Oloff, Lawrence M.

doi:10.1016/s0891-8422(02)00014-9

Cited by 25 publications

(20 citation statements)

References 21 publications

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“…14 Injury to the FHL is known to be common among ballet dancers 12,15 and athletes playing sports that involve forceful plantar flexion of the ankle. 33 Other pathological conditions affecting the FHL have also been well documented in the literature, 27,35 as have disorders involving the hallux and hallucal joints. 5,26 However, patho-etiologies and causative relationships among many of these conditions have not been adequately explored.…”

Section: Introductionmentioning

confidence: 96%

Contribution of the Flexor Hallucis Longus to Loading of the First Metatarsal and First Metatarsophalangeal Joint

2008

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Section: Introductionmentioning

confidence: 96%

Contribution of the Flexor Hallucis Longus to Loading of the First Metatarsal and First Metatarsophalangeal Joint

2008

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“…Most FHL injuries in literature were described as chronic tenosynovitis and particularly frequent in ballet dancers [12][13][14]. If undiagnosed or neglected, some injuries may contribute to chronic pain and disability and may deteriorate into a stenosing tenosynovitis [15,16]. This could be particularly true for chronic tears and tenosynovitis.…”

Section: Discussionmentioning

confidence: 99%

Douleur aiguë du long fléchisseur de l’hallux et tendinopathies du péroné pendant les activités sportives. Résultats d’examens IRM et impact clinique d’une étude prospective

Yammine

2011

Med Chir Pied

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Objectives: To evaluate, with magnetic resonance imaging (MRI), the occurrence of acute tendinopathy in athletes with ankle trauma during sports activities having normal radiographs and referred to the orthopedic department as "ankle sprains". Methods: This is a prospective study of 54 patients. Clinical examination and MR imaging were done in order to have an accurate diagnosis and point out the incidence of bone, ligament and tendon injuries. Results: Nearly half of the patients were found to have no ligament injury on MRI. Out of 20 (37%) acute tendon injuries, nine (45%, 16.5% overall injuries) concerned the Flexor Hallucis Longus (FHL) tendon and eight (40%, 14.8% overall injuries) the fibular tendons.Conclusions: This study reveals that acute tendon injuries and are not infrequent in "benign" ankle trauma. MRI findings were the basis for a case by case and patient centered management. Conservative treatment was effective in all patients but one who was operated on. Surgical treatment is indicated mainly for complete tendon tears. To cite this journal: Méd. Chir. Pied 27 (2011).

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“…Other causes of open or closed distal rupture include iatrogenic laceration following surgery at the first metatarsophalangeal joint, fracture at the hallux-sesamoid complex or distal phalanx, and repetitive trauma. Chronic systemic diseases such as diabetes, inflammatory arthritides, and crystal deposition disease may also lead to tendon degeneration and rupture (35)(36)(37). In most patients, conservative treatment of FHL tendon tears with physiotherapy is not successful, and surgical treatment with tenolysis may be necessary for relief of symptoms (34).…”

Section: Pathologic Conditions and Imaging Appear-mentioning

confidence: 99%

Plantar Tendons of the Foot: MR Imaging and US

Donovan¹,

Rosenberg²,

Bencardino³

et al. 2013

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Tendon disorders along the plantar aspect of the foot may lead to significant symptoms but are often clinically misdiagnosed. Familiarity with the normal anatomy of the plantar tendons and its appearance at magnetic resonance (MR) imaging and ultrasonography (US) is essential for recognizing plantar tendon disorders. At MR imaging, the course of the plantar tendons is optimally visualized with dedicated imaging of the midfoot and forefoot. This imaging should include short-axis images obtained perpendicular to the long axis of the metatarsal shafts, which allows true cross-sectional evaluation of the plantar tendons. Normal plantar tendons appear as low-signal-intensity structures with all MR sequences. At US, accurate evaluation of the tendons requires that the ultrasound beam be perpendicular to the tendon. The normal tendon appears as a compact linear band of echogenic tissue that contains a fine, mixed hypoechoic and hyperechoic internal fibrillar pattern. Tendon injuries can be grouped into six major categories: tendinosis, peritendinosis, tenosynovitis, entrapment, rupture, and instability (subluxation or dislocation) and can be well assessed with both MR imaging and US. The radiologist plays an important role in the diagnosis of plantar tendon disorders, and recognizing their imaging appearances at MR imaging and US is essential.

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Flexor hallucis longus dysfunction: an overview

Cited by 25 publications

References 21 publications

Contribution of the Flexor Hallucis Longus to Loading of the First Metatarsal and First Metatarsophalangeal Joint

Contribution of the Flexor Hallucis Longus to Loading of the First Metatarsal and First Metatarsophalangeal Joint

Douleur aiguë du long fléchisseur de l’hallux et tendinopathies du péroné pendant les activités sportives. Résultats d’examens IRM et impact clinique d’une étude prospective

Plantar Tendons of the Foot: MR Imaging and US

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