Tenosynovial Osteochondromatosis of the Flexor Hallucis Longus in a Division I Tennis Player

Thomsen, Timothy W.; Hogrefe, Christopher; Hall, Mederic M.; Amendola, Annunziato

doi:10.1097/jsm.0000000000000167

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…To our knowledge, there have only been four previously reported cases of synovial chondromatosis involving the FHL tendon sheath, 4 5 6 7 and only 1 of these cases involved the triad of the FHL, FDL, and tarsal tunnel. 4 In the case in which the FHL, FDL, and tarsal tunnel were all affected, a 23-year-old man experienced occasional pain at the site for 13 years.…”

Section: Discussionmentioning

confidence: 94%

“…Até onde tempos conhecimento, houve apenas quarto casos previamente relatados de condromatose sinovial com acometimento da bainha tendínea do FLH 4 5 6 7 e apenas um destes casos envolveu a tríade de FLH, FLD e túnel do tarso. 4 No caso com acometimento de FLH, FLD e túnel do tarso, um homem de 23 anos de idade apresentava dor ocasional no local por 13 anos.…”

Section: Discussionunclassified

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Condromatose sinovial extensa envolvendo todos os tendões do túnel do tarso: relato de caso

et al. 2019

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ResumoA condromatose sinovial é uma condição rara caracterizada por metaplasia condrogênica benigna do tecido sinovial extra-articular, que geralmente afeta uma única bainha tendínea da mão ou do pé. O objetivo é relatar o caso raro de um paciente com diagnóstico de condromatose sinovial extensa afetando todos os tendões flexores na topografia do túnel do tarso, suas características radiológicas, tratamento cirúrgico e desfecho clínico. Os autores apresentam um caso único de condromatose sinovial extensa em um homem de 48 anos envolvendo as bainhas dos tendões flexor longo do hálux, flexor longo dos dedos e tibial posterior, na topografia do túnel do tarso, com extensão para a região plantar do retropé. O sintoma inicial foi de compressão neurovascular (síndrome do túnel do tarso). A suspeita diagnóstica foi condromatose sinovial com base em evidências radiográficas e de ressonância magnética. O paciente foi submetido a ressecção cirúrgica do tumor, bem como a liberação do túnel tarsal e alongamento do tendão dos gastrocnêmios. O diagnóstico foi confirmado por exame histopatológico do espécime colhido no período intraoperatório. A evolução pós-operatória do paciente ocorreu sem complicações e os sintomas da síndrome do túnel do tarso cessaram. Os autores relatam um caso de condromatose sinovial extensa envolvendo todos os tendões flexores do túnel do tarso, corretamente diagnosticado por achados clínicos e radiológicos e que necessitou de ressecção cirúrgica precoce para evitar complicações neurovasculares em longo prazo.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionunclassified

Condromatose sinovial extensa envolvendo todos os tendões do túnel do tarso: relato de caso

et al. 2019

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“…Oakley et al were the first to report on tenosynovial osteochondromatosis in the FHL in 2010 7. Thomsen et al report on a similar case in 2015, the first of its kind in a collegiate athlete 8. Lui reports a case series of three patients treated by tendonoscopy 9.…”

Section: Discussionmentioning

confidence: 99%

Synovial chondromatosis of the flexor hallucis longus tendon sheath

et al. 2022

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This case report discusses a rare case of secondary tenosynovial chondromatosis of the flexor hallucis longus (FHL). Synovial chrondomatosis is a rare, benign proliferative cartilaginous lesion arising from the synovial tissue or bursal lining of or near joints. When it is extra-articular, it is considered tenosynovial chondromatosis. The diagnosis is often delayed given the rarity of presentation and non-specific symptoms. The case was highly unusual in that hindfoot pain was caused by several centimetre-sized osteochondral bodies within the FHL tendon sheath. Anterior cheilectomy was performed. The patient returned to full activity following surgery without recurrence of the disease. The condition can be successfully treated operatively.

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Extraarticular extrasynovial solitary osteochondromatosis of the ankle: A rare case report and review of literature

Thangavel

Sivaram

Jan

et al. 2020

International Journal of Surgery Case Reports

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Highlights Extra articular osteochondromatosis is rare and scarcely reported around the ankle joint. Due to the subtle clinical and radiological presentation of SC they often lead to a diagnostic challenge. Higher degree of suspicion enables early diagnosis, thereby preventing both morbidity and inadequate treatment. Although MRI plays a key role in deciding the extent of the surgery, confirmation can be made only with histopathology. Long term follow up is mandatory considering both the risk of local recurrence and rare malignant transformation.

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Tenosynovial Osteochondromatosis of the Flexor Hallucis Longus in a Division I Tennis Player

Cited by 5 publications

References 8 publications

Condromatose sinovial extensa envolvendo todos os tendões do túnel do tarso: relato de caso

Condromatose sinovial extensa envolvendo todos os tendões do túnel do tarso: relato de caso

Synovial chondromatosis of the flexor hallucis longus tendon sheath

Extraarticular extrasynovial solitary osteochondromatosis of the ankle: A rare case report and review of literature

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