Poster 162 “Dropped Hallux” Following an Open Reduction and Internal Fixation (ORIF) of a Distal Tibia‐Fibula Fracture: A Case Report

Cicone, Caitlin; Hadilaksono, Matthew G.; Hilal, Tariq; Agarwal, Sanjeev

doi:10.1016/j.pmrj.2016.07.203

Cited by 2 publications

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“…Bryon et al reported 0.8% developed this complication in his series of 246 patients [2] . demonstrated by an electrodiagnostic study to be due to injury to the branch of the DPN supplying EHL [3] , was described. The authors have concluded that nerve damage could occur intraoperatively from retraction, insertion of transverse screws, or ischemia from tourniquets, and postoperatively from the compartment syndrome or hematoma.…”

Section: Discussionmentioning

confidence: 99%

Dropped hallux after expert tibia interlocking nailing in proximal tibia fractures in a tertiary care hospital: A case report

Paul

2024

Int. J. Orthop. Sci.

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In road traffic accidents, tibia fractures occur frequently. Interlocking nails are commonly used to treat fractures of the Tibial Diaphyseal. Extensor hallucis longus tendon paralysis is a rare complication following interlock tibial nailing and is rarely reported. The paralysis leads to a condition in which the ankle and other toes can be dorsiflexed, but the hallux cannot. It's a case study of this complication. Following RTA our patient developed proximal both bone leg fracture right leg and he was operated with interlock tibial nailing. Post operatively the patient had dropped hallux without any sensory deficit. At 1 month of follow up, the patient did not show any improvement.

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Section: Discussionmentioning

confidence: 99%

Dropped hallux after expert tibia interlocking nailing in proximal tibia fractures in a tertiary care hospital: A case report

Paul

2024

Int. J. Orthop. Sci.

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“…4 Cicone et al described a case of distal tibia and fibula fracture treated by ORIF, with dropped hallux, which was proved by an electrodiagnostic study to be due to injury to branch of DPN supplying EHL. 5 The authors have concluded that nerve damage could occur intraoperatively from retraction, insertion of transverse screws, or ischemia from tourniquets, and postoperatively from the compartment syndrome or hematoma. Another case report states spontaneous closed rupture of EHL due to a talar neck osteophyte which was treated successfully with surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Entrapment of Extensor Hallucis Longus Tendon in Fracture Callus Leading to Dropped Hallux: A Case Report

Rava¹,

Mahanta²

2019

Journal of Foot and Ankle Surgery (Asia Pacific)

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Aim:The aim of this study is to describe a case of isolated extensor hallucis longus (EHL) dysfunction leading to dropped hallux, which to our belief is due to entrapment of EHL tendon in the fracture callus following open reduction and internal fixation (ORIF) and autologous bone grafting of nonunion of distal 1/3 tibia fracture. Background: Dropped hallux due to EHL dysfunction is a problematic condition because during the swing phase of the gait cycle, the hallux drags across the ground surface leading to altered gait pattern. Isolated dysfunctions of EHL due to various causes are rarely described in the literature. Case description: Dropped hallux in a 61-year-old lady with nonunion distal 1/3 tibia fracture, treated by ORIF with interlocking nail and autologous bone grafting, after the fracture was united, which got corrected after surgical release of the tendon from fracture callus and EHL anastomosis to extensor digitorium longus (EDL) tendon. Conclusion: Awareness of the possibility of entrapment of long tendons in fracture callus leading to their dysfunction, where a simple release and anastomosis of tendon could correct their function, provided the tendon is viable. Clinical significance: Tendon adherence to fracture callus leading to dropped hallux as a differential diagnosis in cases of isolated EHL dysfunction in distal 1/3 tibia fracture.

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Poster 162 “Dropped Hallux” Following an Open Reduction and Internal Fixation (ORIF) of a Distal Tibia‐Fibula Fracture: A Case Report

Cited by 2 publications

References 0 publications

Dropped hallux after expert tibia interlocking nailing in proximal tibia fractures in a tertiary care hospital: A case report

Dropped hallux after expert tibia interlocking nailing in proximal tibia fractures in a tertiary care hospital: A case report

Entrapment of Extensor Hallucis Longus Tendon in Fracture Callus Leading to Dropped Hallux: A Case Report

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