Non-traumatic isolated rupture of the flexor hallucis longus tendon related to an os trigonum: a case report

Jonbergen, J.P.W. Van; Faber, Frank; Treurniet, F. E. E.

doi:10.1046/j.1460-9584.2001.00238.x

Cited by 6 publications

(8 citation statements)

References 12 publications

(20 reference statements)

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“…It is equally important to determine the health, level of activity and demands of the patient. Clinical studies and literature [1][2][3][4][5][6][7][10][11][12][13][14] do not support the need of intact FHL tendon as crucial for great toe push-off and good functional outcome. It is not certain whether the strength of great toe push-off can be improved significantly by surgical repair so as to bring significant improvement in athletic activity.…”

Section: Resultsmentioning

confidence: 99%

“…In this condition, the ruptured tendon ends are degenerate and direct repair is not possible. There are three cases reported of patients with non‐traumatic rupture of the FHL tendon with rupture occurring at different levels: at the level of os trigonum due to its associated osteophyte [12], at the level of the knot of Henry [13] and at the level of sustentaculum tali [14]. All three patients were treated by tenodesis of FHL to FDL as direct repair was not possible as a result of degenerate tendon ends.…”

Section: Discussionmentioning

confidence: 99%

“…Two of these three patients, who were involved in prolonged walking and light aerobic exercises, returned to their job without any problems [13,14]. Although the functional status of the other patient on follow‐up was not mentioned, he had satisfactory outcome in spite of having no active movement at the IP joint [12].…”

Section: Discussionmentioning

confidence: 99%

“…All three patients were treated by tenodesis of FHL to FDL as direct repair was not possible as a result of degenerate tendon ends. The goal of surgery was pain relief in two patients [12,13] and correction of hyperextension deformity in one patient [14]. Postoperatively, one patient had no active flexion [12] and two patients had only weak flexion at the IP joint of the great toe [13,14].…”

Section: Discussionmentioning

confidence: 99%

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Conservative management of rupture of the flexor hallucis longus tendon: a case report and literature review

Mandalia

Williamson

2002

Foot and Ankle Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Conservative management of rupture of the flexor hallucis longus tendon: a case report and literature review

Mandalia

Williamson

2002

Foot and Ankle Surgery

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“…Cock-up deformity of the metatarsophalangeal joint following closed complete flexor hallucis longus tendon rupture has not been reported in the literature, unlike a cock-up of Table II -Operative management and patient outcomes (1,(5)(6)(7)(8)(10)(11)(12)(13)(14).…”

Section: Clinical Identification Of Complete Closed Ruptures Of the Fmentioning

confidence: 99%

Complete rupture of the flexor hallucis longus tendon in an isolated closed injury. A systematic literature and qualitative analysis

Kerr

Butler

Thompson

et al. 2019

Muscle Ligaments and Tendons J

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Background. Complete rupture of the flexor hallucis longus tendon in an isolated closed injury is a rare event. The infrequent identification of this injury may be due to a low clinical suspicion of the flexor hallucis longus tendon being a source of pathology in closed foot and ankle injuries. This review will assess the current body of literature and analyse the clinical presentation and current concepts in management of this specific pattern of tendon injury. Method. A systematic literature search was conducted in MEDLINE and Embase to identify relevant publications. Two separate researchers independently reviewed the references identified in the literature search, with each article being assessed against published selection criteria specified in the study protocol registered with PROS-PERO. Two reviewers individually examined the raw data presented in each paper that met final inclusion criteria. This data was then presented in the final analysis. Results. There were 10 documented case reports of complete rupture of the flexor hallucis longus tendon in an isolated closed injury reported in the literature. The majority of subjects were male (70%), with an average age of 38 years. The duration of prodromal symptoms ranged from 0-8 months. The most common mechanism of injury was running, seen in 30% of cases. Every documented case in the literature underwent surgical management. Common post-operative outcomes reported were individual joint range of motion and return to prior level of physical activity. Conclusion. Due to the occult nature of the injury and synergistic function of other structures in the foot, delayed presentation of closed flexor hallucis tendon rupture is common. It is unclear from the current body of literature if surgical management of this injury significantly improves patient outcomes. Current evidence from the management of open flexor hallucis longus tendon ruptures suggests that patients can achieve good functional outcomes with non-operative management. Our recommendation would be for initial non-operative treatment of closed flexor hallucis longus tendon ruptures given the potential for acceptable functional outcomes, and to avoid the potential complications associated with operative repair.KEY WORDS flexor hallucis longus; FHL; closed injury; complete rupture; tendon rupture non-operative

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

Tokgöz

Ataoğlu

Ergişi

et al. 2020

Foot and Ankle Surgery

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Non-traumatic isolated rupture of the flexor hallucis longus tendon related to an os trigonum: a case report

Cited by 6 publications

References 12 publications

Conservative management of rupture of the flexor hallucis longus tendon: a case report and literature review

Conservative management of rupture of the flexor hallucis longus tendon: a case report and literature review

Complete rupture of the flexor hallucis longus tendon in an isolated closed injury. A systematic literature and qualitative analysis

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

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