Restricted accessResearch articleFirst published online 1993-9
Spontaneous Atraumatic Rupture of the Flexor Hallucis Longus Tendon Under the Sustentaculum Tali: Case Report,Review of the Literature,and Treatment Options
A case of spontaneous rupture of the flexor hallucis longus tendon within the hind part of the foot is reported in a middle-aged woman who had no trauma or systemic disease. Repair was effected by tenodesis to the flexor digitorum longus tendon above and below the fibro-osseous tunnel. Hyperextension of the interphalangeal joint which most troubled the patient was corrected postoperatively. Active range of motion was equal in extension. Flexion at the IP joint was present, but significantly less than the unaffected side.
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References
1.
. FloydD.W.HeckmanJ.D.RockwoodC.A.: Tendon lacerations in the foot. Foot Ankle, 4:8–14, 1983.
2.
. FrenetteJ.P.JacksonD.W.: Lacerations of the flexor hallucis longus in the young athlete. J. Bone Joint Surg., 59A:673–676, 1977.
3.
. GarthW. P: Flexor hallucis tendinitis in a ballet dancer: a case report. J. Bone Joint Surg., 63A:1489, 1981.
4.
. HamiltonW.G.GeppertM.: Surgical treatment of posterior ankle pain in dancers: 70 cases over a 12 year period. Presented at the 9th Annual Meeting of The American Orthopaedic Foot and Ankle Society, Asheville, NC, July 1993.
5.
. HoltK.W.G.CrossM.J.: Isolated rupture of the flexor hallucis longus tendon: a case report. Am.J. Sports Med., 18:645–646, 1990.
6.
. KrackowK.A.: Acute, traumatic rupture of a flexor hallucis longus tendon: a case report. Clin. Orthop., 150:261–262, 1980.
7.
. MacConnaillM.A.BenjaminJ.V.: Muscles and Movements. A Basis for Human Kinesiology. Baltimore, Williams and Wilkins, 1969.
8.
. MichelsonJ.D.ContiS.JahssM.: Clinical significance of MRI in preoperative planning for posterior tibial tendon ruptures. Foot Ankle, 14:208–214, 1992.
9.
. PeacockK.C.ResnickE.J.ThoderJ.J.: Fracture of the os peroneum with rupture of the peroneus longus tendon: a case report and review of the literature. Clin. Orthop., 202:223–226, 1986.
10.
. RasmussenR.B.ThyssenE.P.: Rupture of the flexor hallucis longus tendon: case report. Foot Ankle, 10:288–289, 1990.
11.
. SammarcoG.J.MillerE.H.: Partial rupture of the flexor hallucis longus tendon in classical ballet dancers. J. Bone Joint Surg., 61A:149–150, 1979.
12.
. StokesI.A.F.HuttonW.C.StottJ.R.R.LoweL.W.: Forces under the hallux valgus before and after surgery. Clin. Orthop., 142:64–72, 1979.
13.
. ThompsonF.M.PattersonA.H.: Rupture of the peroneus longus tendon: report of three cases. J. Bone Joint Surg., 71A:293–295, 1989.
