Rupture of the extensor hallucis longus tendon after ankle arthroscopy—An unusual complication

Navadgi, Basalingappa; Shah, Nitin; Jeer, Parminder J.S.; Rajan, S. Sundara

doi:10.1016/j.fas.2006.06.006

Cited by 14 publications

(12 citation statements)

References 4 publications

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“…In 2010. Tuncer reported a rupture of extensor hallucis longus and extensor digitorum longus for second and third toe 6 and in 2007 Navadgi reported a rupture of the extensor hallucis longus 7 To our knowledge, complete rupture of the common tendon of the extensor hallucis longus for all four toes (2-5) is unreported. Since this is a rare complication, it is very important to raise awareness that such complication is a distinct possibility.…”

Section: Discussionmentioning

confidence: 79%

Extensor digitorum tendon rupture after anterior ankle arthroscopy

Šumanovac

Selthofer

Kokić

et al. 2020

Med. Flum. (Online)

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Aim: The aim of this paper is to increase awareness of orthopaedic surgeons about an uncommon yet possible complication of ankle arthroscopy – iatrogenic extensor digitorum rupture. Ankle arthroscopy is becoming more widespread and according to the literature, the complication rate varies from 9% up to 17%. Case report: We are presenting a case of 32-year old police officer who recreationally plays soccer. The patient presented with clear signs of anterior ankle impingement confirmed by X-ray and the MRI. During ankle arthroscopy massive tibial and talar bone spurs were found with significant synovial reaction, nearly 10 loose intraarticular bodies and syndesmotic ossification. The patient was placed in a walking boot and early postoperative recovery went as planned. Physical therapy started 14 days after the procedure. Five weeks after the surgery while dorsiflexing his fingers patient felt a "snap" over his ankle followed by swelling. He couldn't dorsiflex his fingers afterwards. MRI showed a rupture of the common extensor digitorum tendon. The patient was treated with open reconstruction of the tendon and lower leg immobilisation for 6 weeks followed by physical therapy and partial weight bearing. The patient made a full recovery. Conclusion: It is of the utmost importance to keep in mind that ankle arthroscopy alongside it's obvious benefits is not void of complications. Iatrogenic tendon lesion is always possible and should be suspected with any loss of movement in foot and ankle after the procedure. Urgent MRI and immediate reconstruction showed good results in our case.

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Section: Discussionmentioning

confidence: 79%

Extensor digitorum tendon rupture after anterior ankle arthroscopy

Šumanovac

Selthofer

Kokić

et al. 2020

Med. Flum. (Online)

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“…64,65 The use of radiofrequency ablation and aggressive debridement with a shaver in the anterior ankle joint has been attributed to causing iatrogenic delayed rupture of the extensor tendons. Injury to the anterior talofibular ligament or the deltoid can occur when placing accessory anterolateral or anteromedial portals.…”

Section: Complicationsmentioning

confidence: 99%

Anterior Ankle Arthroscopy

Epstein

Black

Sherman

2015

Foot and Ankle Clinics

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“…Se ha reportado la ruptura de los tendones extensor hallucis longus y extensor digitorum longus. 24,25 El uso agresivo tanto de la radiofrecuencia o del desbridamiento con shaver se ha atribuido como causa de la ruptura iatrogénica de los tendones extensores. Como prevención, es importante la posición de la punta cortante del shaver, en donde su parte filosa debe estar siempre orientada hacia la articulación y no hacia la piel.…”

Section: Total De Complicaciones 100%unclassified

Artroscopia anterior de tobillo. Complicaciones tempranas con técnica sin distracción. [Anterior ankle arthroscopy. Early complications without joint distraction]

Arauz

Anderica

Lauritto

et al. 2019

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: La artroscopia se ha convertido en una importante herramienta para tratar diversas afecciones del tobillo. El uso de portales anteriores y posteriores, asociados o no a distracción mecánica, permite una completa exploración de esta articulación. Como toda técnica quirúrgica, no está exenta de complicaciones.Objetivos: Evaluar las complicaciones tempranas de la artroscopia anterior de tobillo, sin distracción articular, y compararlas con las descritas en la bibliografía internacional.Materiales y Métodos: Estudio retrospectivo que evaluó a 198 pacientes sometidos a artroscopia anterior de tobillo por diversas patologías. Todos fueron operados por un único cirujano, en dos instituciones de salud, durante un período de 6 años, con un seguimiento posquirúrgico mínimo de 12 meses. Los pacientes fueron evaluados mediante el puntaje de la AOFAS y se consignaron las complicaciones intra y posoperatorias tempranas.Resultados: Se evaluó a 34 mujeres y 164 hombres (edad promedio 37.5 años).Hubo 23 complicaciones (11,61%): celulitis local (6 casos), parestesias transitorias del nervio peroneo superficial (4 casos), parestesia permanente del nervio peroneo superficial (1 caso), dolor residual en los portales (4 casos), artritis séptica (2 casos) y un caso de otras complicaciones.Conclusiones: Un conocimiento preciso de la anatomía, una asepsia y una técnica quirúrgica correctas, y los cuidados de manejo intraquirúrgico del instrumental permiten evitar la mayoría de las complicaciones. La artroscopia anterior de tobillo sin distracción por medio de los clásicos portales antero-lateral y antero-medial es una técnica segura,con un bajo índice de complicaciones y una muy baja morbilidad para el paciente. AbstractIntroduction: Arthroscopy has become an important tool to treat various conditions of the ankle. The use of anterior and posterior portals, with or without mechanical distraction, allows for a complete exploration of this joint. Like all surgical techniques, it is not without complications.Objectives: To evaluate the early complications of anterior ankle arthroscopy with or without joint distraction, and to compare them with those described in the international literature.Materials and Methods: A retrospective study that evaluated 198 patients undergoing anterior ankle arthroscopy for various pathologies. All were operated on by a single surgeon, in two health centers, during a period of 6 years, with a postoperative follow-up of at least 12 months. Patients were evaluated by AOFAS score and early and postoperative complications were recorded.Results: 34 women and 164 men were evaluated (average age 37.5 years). There were 23 complications (11.61%): local cellulitis (6 cases), transient paresthesia of the superficial peroneal nerve (4 cases), permanent paresthesia of the superficial peroneal nerve (1 case), residual pain in the portals (4 cases), septic arthritis (2 cases) and one case of other complications.Conclusions: Most complications can be avoided by a precise knowledge of the anatomy and the aseptic techniques, as well as an adequate surgical approach and intra-operative management of the instrumentation. Anterior ankle arthroscopy without joint distraction through standard antero-lateral and antero-medial portals is a safe technique, having a low rate of complications and a very low morbidity for the patient.

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Rupture of the extensor hallucis longus tendon after ankle arthroscopy—An unusual complication

Cited by 14 publications

References 4 publications

Extensor digitorum tendon rupture after anterior ankle arthroscopy

Extensor digitorum tendon rupture after anterior ankle arthroscopy

Anterior Ankle Arthroscopy

Artroscopia anterior de tobillo. Complicaciones tempranas con técnica sin distracción. [Anterior ankle arthroscopy. Early complications without joint distraction]

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