Rupture of the extensor hallucis longus tendon after ankle arthroscopy—An unusual complication
ABSTRACT Complications following ankle arthroscopy are frequent. The most common complication reported is neurologic injury. Other complications include vascular injury, reflex sympathetic dystrophy, synovitis, instrument breakage, painful scars and fibula fracture. We present a case of extensor hallucis tendon rupture after ankle arthroscopy. A rare complication not previously reported. This was treated surgically with an uneventful recovery.
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ABSTRACT: A 40-year-old man with early arthritis, loose bodies, and anterolateral joint impingement symptoms in his left ankle, which was refractory to noninvasive therapeutic modalities for 1 year, underwent ankle arthroscopy and radiofrequency thermal ablation. The anterior capsule of the ankle joint was breached by the radiofrequency probe while the loose bodies were removed from the anterior recess, exposing the extensor tendons and resulting in a delayed spontaneous rupture of the extensor hallucis longus tendon and extensor tendons to the second and third toes. The extensor hallucis longus tendon was repaired with a semitendinosus tendon graft, and extensor digitorum tendons underwent primary repair. The patient regained full function and was symptom free 1 year after surgery.The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons 09/2010; 49(5):490.e1-3. DOI:10.1053/j.jfas.2010.05.003 · 0.98 Impact Factor
Article: Update on anterior ankle impingement[Show abstract] [Hide abstract]
ABSTRACT: Anterior ankle impingement results from an impingement of the ankle joint by a soft tissue or osteophyte formation at the anterior aspect of the distal tibia and talar neck. It often occurs secondary to direct trauma (impaction force) or repetitive ankle dorsiflexion (repetitive impaction and traction force). Chronic ankle pain, swelling, and limitation of ankle dorsiflexion are common complaints. Imaging is valuable for diagnosis of the bony impingement but not for the soft tissue impingement, which is based on clinical findings. MR imaging and MR arthrography are helpful in doubtful diagnoses and the identification of associated injuries. Recommended methods for initial management include rest, physical therapy, and shoe modification. If nonoperative treatment fails, arthroscopic bony or soft tissue debridement both offer significant symptomatic relief with long-term positive outcomes in cases that have no significant arthritic change, associated ligament laxity, and chondral lesion.Current Reviews in Musculoskeletal Medicine 03/2012; 5(2):145-50. DOI:10.1007/s12178-012-9117-z
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ABSTRACT: A 23-year-old healthy laborer involved in a work-related injury, sustained excessive left ankle plantarflexion, which resulted in closed rupture of the extensor hallucis longus muscle without any predisposing factors. He had an associated fracture of the second metatarsal shaft. The muscle proximal to the musculotendinous junction was excised, and the tendon was looped through a longitudinal slit in the main extensor digitorum communis tendon and sutured to it. The second metatarsal fracture was fixed with Kirschner wires. The patient regained full function and was symptom free 6 months after surgery.The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons 01/2013; 52(2). DOI:10.1053/j.jfas.2012.12.002 · 0.98 Impact Factor