Partial Extensor Hallucis Longus Injury Following Lisfranc Fixation Loosening

Abstract

Lisfranc injuries are typically treated in the acute setting with open reduction and internal fixation (ORIF). The type of hardware that provides the best fixation for these injuries has not been definitively determined. Recently, dorsal bridge plating has increased in popularity. We report a case of partial extensor hallucis longus (EHL) injury after dorsal bridge plate fixation of a Lisfranc injury. The patient was successfully treated with hardware removal, tendon debridement, and tubularization. This case highlights a potential complication of dorsal bridge plating in the treatment of Lisfranc injuries.

The Lisfranc Injury: A Literature Review of Anatomy, Etiology, Evaluation, and Management

“…Hardware irritation from prominent dorsal plates is a possibility. Plate and screws in the vicinity of the extensor tendons have been associated with tendon rupture in the wrist, and likewise, Adamson et al 62 reported a case of partial extensor hallucis longus injury following Lisfranc fixation loosening.…”