190 results match your criteria Ankle Flexor Hallucis Longus Tendon Injuries


Anatomic lectures on structures at risk prior to cadaveric courses reduce injury to the superficial peroneal nerve, the commonest complication in ankle arthroscopy.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 7. Epub 2019 Feb 7.

Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, University of Barcelona, Barcelona, Spain.

Purpose: To assess the effectiveness of cadaveric ankle arthroscopy courses in reducing iatrogenic injuries.

Methods: A total of 60 novice surgeons enrolled in a basic cadaveric ankle arthroscopy course were divided into two groups. Group A (n = 32) was lectured on portal placement and use of the arthroscope, whereas group B (n = 28) was in addition lectured on specific portal-related complications. Read More

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http://link.springer.com/10.1007/s00167-019-05373-x
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http://dx.doi.org/10.1007/s00167-019-05373-xDOI Listing
February 2019
3 Reads

The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015.

Orthop J Sports Med 2018 Jul 18;6(7):2325967118786227. Epub 2018 Jul 18.

The Steadman Clinic, Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: American football is a leading cause of sports-related injuries, with the knee, ankle, and shoulder most commonly involved.

Purpose/hypothesis: The purpose of this study was to describe the epidemiology, characteristics, and imaging findings of ankle injuries in football players at the National Football League (NFL) Combine and determine the relationship to player position. We hypothesized that there would be a high relative incidence of ankle injuries in these players compared with other sports and that there would be a direct correlation between the incidence of ankle injuries and player position. Read More

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http://dx.doi.org/10.1177/2325967118786227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052500PMC
July 2018
13 Reads

Anatomic Basis for Minimally Invasive Flexor Hallucis Longus Transfer in Chronic Achilles Tendon Rupture.

J Foot Ankle Surg 2018 Sep - Oct;57(5):938-941. Epub 2018 Jun 8.

Consultant, OrthoSports-Clinic for Orthopedic Surgery and Sports Medicine, Mt. Elizabeth Novena Specialist Centre, Singapore.

The present cadaveric study was designed to measure the flexor hallucis longus (FHL) tendon length and obtain anatomic data regarding the graft-to-tunnel length ratio in an interference screw fixation model for the FHL short-harvest single-incision technique to the calcaneus. Ten fresh-frozen paired cadaveric specimens were used for the FHL short-harvest technique. The length of the osseous tunnel in the calcaneus was measured. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.013DOI Listing
January 2019
13 Reads

Lipidus migrans-a radiology imaging feature after ankle injury.

Skeletal Radiol 2018 Dec 21;47(12):1709-1715. Epub 2018 May 21.

Institute of Radiology, Kantonsspital Baden, Baden, Switzerland.

We present an uncommon imaging feature with fluid fat tracking within the tendon sheath of the flexor hallucis longus (FHL) after traumatic injury to the ankle joint. We propose a coined medical term "lipidus migrans" to define the presence of floating fat in a tendon sheath. This is due to lipohemarthrosis from intra-articular fracture of the ankle with leakage of fluid fat into the tendon sheath. Read More

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http://dx.doi.org/10.1007/s00256-018-2973-xDOI Listing
December 2018
13 Reads

Short-Term Results of Flexor Hallucis Longus Transfer in Delayed and Neglected Achilles Tendon Repair.

J Foot Ankle Surg 2018 Sep - Oct;57(5):1042-1047. Epub 2018 May 18.

Professor, Department of Physiotherapy and Rehabilitation, Private Guven Hospital, Ankara, Turkey.

Flexor hallucis longus (FHL) tendon transfer to the calcaneus in the repair of delayed or neglected Achilles tendon (AT) injuries is a viable and dynamic option. Nineteen patients (18 males, 1 female; mean age 47.4 ± 12. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.005DOI Listing
January 2019
22 Reads

Clinical and radiological outcome of Gustilo type III open distal tibial and tibial shaft fractures after staged treatment with posterolateral minimally invasive plate osteosynthesis (MIPO) technique.

Arch Orthop Trauma Surg 2018 Aug 10;138(8):1097-1102. Epub 2018 May 10.

Department of Orthopaedics, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai, 201700, People's Republic of China.

Objectives: To evaluate the methods and the outcomes of Gustilo type III open distal tibial and tibial shaft fractures with severe anterior and medial soft-tissue injuries, treated with posterolateral minimally invasive plate osteosynthesis (MIPO) technique.

Methods: From May 2015 to May 2016, 10 patients with Gustilo type III open distal tibial and tibial shaft fractures with severe anterior and medial soft-tissue injuries (Gustilo-Anderson classification IIIA, 6; IIIB, 4) were treated with staged protocol using posterolateral minimally invasive plate osteosynthesis (MIPO) technique. The initial wound lavage, debridement, and application of a spanning external fixator were performed within 24 h and the mean interval from injury to definitive surgical treatment was 12. Read More

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http://dx.doi.org/10.1007/s00402-018-2950-9DOI Listing
August 2018
6 Reads

The functional and dynamometer-tested results of transtendinous flexor hallucis longus transfer for neglected ruptures of the Achilles tendon at six years' follow-up.

Bone Joint J 2018 05;100-B(5):584-589

Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, UK.

Aims: Flexor hallucis longus (FHL) tendon transfer is a well-recognized technique in the treatment of the neglected tendo Achillis (TA) rupture.

Patients And Methods: We report a retrospective review of 20/32 patients who had undergone transtendinous FHL transfer between 2003 and 2011 for chronic TA rupture. Their mean age at the time of surgery was 53 years (22 to 83). Read More

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http://dx.doi.org/10.1302/0301-620X.100B5.BJJ-2017-1053.R1DOI Listing
May 2018
2 Reads

Anatomical feasibility study of flexor hallucis longus transfer in treatment of Achilles tendon and posteromedial portal of ankle arthroscopy.

Surg Radiol Anat 2018 Sep 16;40(9):1031-1038. Epub 2018 Apr 16.

Department of Orthopaedic Surgery, Pennsylvania Hospital, University of Pennsylvania School of Medicine, Philadelphia, USA.

Purpose: The aim of this study was to evaluate the occurrence of anatomical variations of the musculotendinous junction of the flexor hallucis longus (FHL) muscle, the relationship between FHL tendon or muscle and the tibial neurovascular bundle at the level of the posterior ankle joint in human cadavers.

Methods: Seventy embalmed feet from 20 male and 15 female cadavers, the cadavers' mean age was 65.4 (range from 14 to 82) years, were dissected and anatomically classified to observe FHL muscle morphology define the relationship between FHL tendon or muscle and the tibial neurovascular bundle. Read More

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http://link.springer.com/10.1007/s00276-018-2021-5
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http://dx.doi.org/10.1007/s00276-018-2021-5DOI Listing
September 2018
10 Reads

Results of Treatment of Posterior Ankle Impingement Syndrome and Flexor Hallucis Longus Tendinopathy in Dancers: A Systematic Review.

J Dance Med Sci 2018 Mar;22(1):19-32

Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Dancing on pointe and relevé requires extreme plantar flexion of the talo-crural joint. Hence, these positions may lead to posterior ankle impingement syndrome (PAIS). PAIS often coincides with flexor hallucis longus tendinopathy (FHL tendinopathy, or "dancers' tendinitis"). Read More

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http://www.ingentaconnect.com/content/10.12678/1089-313X.22.
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http://dx.doi.org/10.12678/1089-313X.22.1.19DOI Listing
March 2018
5 Reads

Operative Treatment of Posterior Ankle Impingement Syndrome and Flexor Hallucis Longus Tendinopathy in Dancers Open Versus Endoscopic Approach.

J Dance Med Sci 2018 Mar;22(1):11-18

Medical Center for Dancers and Musician, The Hague Medical Center, The Netherlands.

Posterior ankle impingement syndrome (PAIS) is a painful, usually limited plantar flexion of the ankle joint due to soft tissue impingement or a bony impediment often coinciding with tendinopathy of the flexor hallucis longus (FHL) behind the medial malleolus. In persistent complaints, the bony impediment is removed, the tunnel of the FHL tendon is released, or a combination of both procedures has traditionally been performed by open surgery. In 2000, an endoscopic surgical technique for PAIS and FHL tendinopathy was introduced. Read More

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http://www.ingentaconnect.com/content/10.12678/1089-313X.22.
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http://dx.doi.org/10.12678/1089-313X.22.1.11DOI Listing
March 2018
7 Reads

Posterior Ankle Impingement Syndrome and M. Flexor Hallucis Longus Tendinopathy in Dancers Results of Open Surgery.

J Dance Med Sci 2018 Mar;22(1):3-10

Medical Center for Dancer and Musician, The Hague Medical Center, The Netherlands.

Posterior ankle impingement syndrome (PAIS), the result of posterolateral soft tissue or bony impingement of the ankle, and tendinopathy of the flexor hallucis longus (FHL tendinopathy) in the ankle are common in dancers. If conservative treatment of these conditions fails to produce adequate results, surgical intervention might be necessary. However, outcomes of treatment by open surgery for these diagnoses have been described only in small series of dancers. Read More

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http://www.ingentaconnect.com/content/10.12678/1089-313X.22.
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http://dx.doi.org/10.12678/1089-313X.22.1.3DOI Listing
March 2018
7 Reads

Quantification of the Learning Curve for Arthroscopic Os Trigonum Excision.

Authors:
Kotaro Yamakado

J Foot Ankle Surg 2018 May - Jun;57(3):505-508. Epub 2018 Mar 1.

Department Manager, Sports Medicine (Orthopaedics), Fukui General Hospital, Fukui, Japan. Electronic address:

The purpose of the present study was to quantify the learning curve for arthroscopic os trigonum excision using the log-linear model. Twenty-three consecutive feet underwent arthroscopic os trigonum excision and release of the flexor hallucis longus. The required time from the beginning of shaving of the soft tissue until completion of os trigonum excision and release of the flexor hallucis longus (van Dijk time) was recorded. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.11.010DOI Listing
October 2018
2 Reads

Talus Fracture of the Medial Tubercle of the Posterior Process: Interposition of the Flexor Hallucis Longus Tendon.

Authors:
Jin Park Jin Ho Che

J Foot Ankle Surg 2018 May - Jun;57(3):615-617. Epub 2018 Feb 15.

Surgeon and Orthopedist, Department of Orthopedic Surgery, Yonsei Knee and Spine Hospital, Seoul, Republic of Korea.

Talus fracture of the medial tubercle of the posterior process is rare. This type of fracture can be easily missed, because it is difficult to identify on plain radiographs of the ankle. Oblique radiographs with external rotation, computed tomography, and magnetic resonance imaging (MRI) of the ankle are useful for making an accurate diagnosis. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.10.028DOI Listing
October 2018
5 Reads

Surgical management of chronic Achilles tendon ruptures using less invasive techniques.

Foot Ankle Surg 2018 Apr 16;24(2):164-170. Epub 2017 Feb 16.

Department of Orthopaedics, Frimley Health NHS Foundation Trust, Frimley Park Hospital, Portsmouth Road, Camberley, Surrey, GU16 7UJ, United Kingdom.

Background: Surgical management of chronic Tendo Achillis (TA) ruptures usually requires tendon grafting procedures. Several techniques have been described. We examined the outcome of three different less invasive (incisions length less than 3 cm) tendon transfer techniques in the management of patients with a chronic rupture of the TA. Read More

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http://dx.doi.org/10.1016/j.fas.2017.02.002DOI Listing
April 2018
4 Reads

Endoscopic Transfer of Flexor Hallucis Longus Tendon for Chronic Achilles Tendon Rupture: Technical Aspects and Short-Time Experiences.

Foot Ankle Spec 2018 Oct 17;11(5):461-466. Epub 2018 Jan 17.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway (EEH, KHH, AHS).

Background: Chronic Achilles tendon ruptures can lead to reduced power of plantar flexion in the ankle with impaired gait ability. The open 1- or 2-incision technique for flexor hallucis longus transfer has proven good functional outcome but has the disadvantage of relatively extensive surgery performed at a vulnerable location. To reduce the risk of soft tissue problems, the flexor hallucis longus transfer can be performed endoscopically. Read More

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http://dx.doi.org/10.1177/1938640017754234DOI Listing
October 2018
4 Reads

Obtaining Adequate Tension for Extensor Hallucis Longus Tendon Rupture Repair Using Wide-Awake Surgery: A Case Report.

J Foot Ankle Surg 2018 Mar - Apr;57(2):414-417. Epub 2017 Dec 7.

Professor and Chairman, Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.

Wide-awake surgery has potential advantages for treating extensor or flexor tendon injury. We present a case of chronic extensor hallucis longus injury treated with turn-down reconstruction using wide-awake surgery with a selective nerve block. To the best of our knowledge, this is the first such case reported. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.08.025DOI Listing
September 2018
4 Reads

Flexor Hallucis Longus Muscle and Tendon Transfer for the Treatment of Achilles Tendon Wounds.

Foot Ankle Int 2018 02 24;39(2):205-209. Epub 2017 Nov 24.

3 Department of Orthopaedics, University of Rochester Medical Center, Rochester, NY, USA.

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http://dx.doi.org/10.1177/1071100717739395DOI Listing
February 2018
1 Read

Tendon split lengthening technique for flexor hallucis longus tendon rupture.

J Orthop Surg Res 2017 Nov 6;12(1):165. Epub 2017 Nov 6.

Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 948-1, Dalim-1dong, Youngdeungpo-gu, Seoul, 150-950, South Korea.

Background: Flexor hallucis longus (FHL) tendon rupture is a challenging injury to lead with clawing of the great toe when the FHL tendon is repaired too tight. When the diagnosis is delayed, the tendon ends may not be opposable because of contracture or poor tendon tissue.

Methods: A technique to reconstruct FHL tendon rupture without a free tendon graft is described. Read More

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http://dx.doi.org/10.1186/s13018-017-0668-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674746PMC
November 2017
4 Reads

What Do You Do With The Achilles if You Have No Fancy Toys?

Foot Ankle Clin 2017 Dec 28;22(4):801-818. Epub 2017 Sep 28.

Indian Foot and Ankle Society; Director, Department of Orthopedics, Noble Hospital, Magarpatta, Hadapsar, Pune 411013, Maharashtra, India.

Surgical management of Achilles disorders warrants excision of the degenerated tendon and removal of impinging bone. Resulting defects can be bridged by various methods. Although FHL is the most commonly used tendon for transfer, large defects in cases of chronic Achilles ruptures may be bridged by use of a distant donor tendon. Read More

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http://dx.doi.org/10.1016/j.fcl.2017.07.008DOI Listing
December 2017
7 Reads

Insertional Tendinopathy of the Achilles: Debridement, Primary Repair, and When to Augment.

Foot Ankle Clin 2017 Dec 27;22(4):761-780. Epub 2017 Sep 27.

Foot and Ankle Service, Rothman Institute at Jefferson, Sidney Kimmel Medical College, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA. Electronic address:

Insertional Achilles tendinopathy is a degenerative enthesopathy associated with pain and dysfunction. Nonsurgical management is first attempted for a period of 3 to 6 months and may consist of physical therapy with eccentric training and other modalities. Surgical treatment can be successful with a variety of approaches. Read More

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http://dx.doi.org/10.1016/j.fcl.2017.07.005DOI Listing
December 2017
12 Reads

Noninsertional Tendinopathy of the Achilles.

Foot Ankle Clin 2017 Dec 28;22(4):745-760. Epub 2017 Sep 28.

University of California, Davis, 4860 Y Street, Suite 1700, Sacramento, CA 95817, USA. Electronic address:

Noninsertional Achilles tendinosis is differentiated from insertional Achilles tendinosis based on anatomic location. Tendinosis, as opposed to tendonitis, is primarily a degenerative process and the role of inflammation is believed limited. The etiology of Achilles tendinopathy may include overuse leading to repetitive microtrauma, poor vascularity of the tissue, mechanical imbalances of the extremity, or combination of these elements. Read More

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http://dx.doi.org/10.1016/j.fcl.2017.07.006DOI Listing
December 2017
17 Reads

Flexor Digitorum Longus (FDL) or Flexor Hallucis Longus (FHL) Harvesting: Technical Tip and Case Studies.

Foot Ankle Int 2017 Nov 1;38(11):1267-1270. Epub 2017 Sep 1.

2 Orthopedics Department, Meir Medical Center, Kfar Saba, Israel.

Background: Harvesting of the flexor digitorum longus (FDL) or the flexor hallucis longus (FHL) is a procedure used when tendon transfer is needed. It is commonly used in tibialis posterior reconstruction and Achilles tendon reconstruction. Harvesting of these tendons is sometimes difficult and time-consuming. Read More

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http://dx.doi.org/10.1177/1071100717722365DOI Listing
November 2017
1 Read

A Biomechanical Analysis of Interference Screw Versus Bone Tunnel Fixation of Flexor Hallucis Longus Tendon Transfers to the Calcaneus.

J Foot Ankle Surg 2017 Jul - Aug;56(4):813-816

Assistant Professor, Division of Mineral Metabolism, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.

The flexor hallucis longus tendon transfer is commonly used to restore function in chronic Achilles tendon ruptures and chronic Achilles tendinopathy. The tendon is often secured to the calcaneus either through a bone tunnel or by an interference screw. We hypothesized that tenodesis using the bone tunnel method would be mechanically superior to interference screw fixation for flexor hallucis longus transfers. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.04.014DOI Listing
March 2018
14 Reads

Biomechanical Analysis of Suture Anchor vs Tenodesis Screw for FHL Transfer.

Foot Ankle Int 2017 Jul 2;38(7):797-801. Epub 2017 May 2.

6 Bioengineering-Biomechanics Laboratory, The Feinstein Institute for Medical Research, Manhasset, NY, USA.

Background: Chronic Achilles injury is often treated with flexor hallucis longus (FHL) tendon transfer to the calcaneus using 1 or 2 incisions. A single incision avoids the risks of extended dissections yet yields smaller grafts, which may limit fixation options. We investigated the required length of FHL autograft and biomechanical profiles for suture anchor and biotenodesis screw fixation. Read More

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http://dx.doi.org/10.1177/1071100717702848DOI Listing
July 2017
30 Reads

Soleus Atrophy Is Common After the Nonsurgical Treatment of Acute Achilles Tendon Ruptures: A Randomized Clinical Trial Comparing Surgical and Nonsurgical Functional Treatments.

Am J Sports Med 2017 May 10;45(6):1395-1404. Epub 2017 Mar 10.

Division of Orthopaedic and Trauma Surgery, Department of Surgery, Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland.

Background: It remains controversial whether nonsurgical or surgical treatment provides better calf muscle strength recovery after an acute Achilles tendon rupture (ATR). Recent evidence has suggested that surgery might surpass nonsurgical treatment in restoring strength after an ATR.

Purpose: To assess whether magnetic resonance imaging (MRI) findings could explain calf muscle strength deficits and the difference between nonsurgical and surgical treatments in restoring calf muscle strength. Read More

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http://dx.doi.org/10.1177/0363546517694610DOI Listing
May 2017
14 Reads

Incidence and Association of CT Findings of Ankle Tendon Injuries in Patients Presenting With Ankle and Hindfoot Fractures.

AJR Am J Roentgenol 2017 Feb;208(2):373-379

1 Department of Radiology, The University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 2.116, Houston, TX 77030.

Objective: Tendon injuries are a commonly encountered finding in ankle CT examinations performed for fractures. This study was designed to identify the incidence and associations of tendon injuries in ankle CT examinations performed for fractures.

Materials And Methods: A retrospective review was performed of 410 patients who underwent ankle CT during a 6-year period. Read More

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http://dx.doi.org/10.2214/AJR.16.16657DOI Listing
February 2017
14 Reads

Z-plasty of the flexor hallucis longus tendon at tarsal tunnel for checkrein deformity.

J Orthop Surg (Hong Kong) 2016 12;24(3):354-357

Departments of Orthopedic Surgery, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Korea.

Purposes: To review the outcome of Z-plasty of the flexor hallucis longus (FHL) tendon at the tarsal tunnel for checkrein deformity in 8 patients.

Methods: Records of 6 males and 2 females aged 14 to 67 (mean, 39.5) years who underwent Z-plasty (lengthening) of the FHL tendon at the tarsal tunnel for checkrein deformity in the first and second toes by a single surgeon were reviewed. Read More

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http://dx.doi.org/10.1177/1602400316DOI Listing
December 2016
50 Reads

Repair of Chronic Achilles Ruptures Has a High Incidence of Venous Thromboembolism.

Foot Ankle Spec 2017 Oct 23;10(5):415-420. Epub 2016 Nov 23.

Saginaw Valley Bone and Joint Center, Saginaw, Michigan (MJB).

Background: Despite the low incidence of deep vein thrombosis (DVT) in foot and ankle surgery, some authors report a high incidence of symptomatic DVT following Achilles tendon rupture. The purpose of this study was to identify DVT risk factors inherent to Achilles tendon repair to determine which patients may benefit from prophylaxis.

Methods: One hundred and thirteen patient charts were reviewed following elective and nonelective Achilles tendon repair. Read More

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http://dx.doi.org/10.1177/1938640016679706DOI Listing
October 2017
4 Reads

Combined flexor hallucis longus tendon transfer and gastrocnemius recession for reconstruction of gapped chronic achilles tendon ruptures.

Injury 2016 Dec 3;47(12):2833-2837. Epub 2016 Nov 3.

Assisstant Prof of Orthopedic Surgery, Mansoura University, Egypt. Electronic address:

Objective: The aim of this study was to assess the functional outcomes after a combined FHL transfer and a gastrocnemius recession for treatment of chronic ruptures of Achilles tendon with a gap and to investigate the patient's satisfaction about the great toe function after transfer.

Material And Methods: 19 patients with chronic rupture of the Achilles tendon with a gap were treated with a flexor halluces longus tendon transfer combined with a gastrocnemius recession, Clinical diagnosis depends on the presence of gap in the tendon on examination, inability of tip toe walking on the affected side and positive calf-squeeze test, MRI was used to confirm the clinical diagnosis. American Orthopedic Foot & Ankle Society hind foot score was used for assessment of the results. Read More

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http://dx.doi.org/10.1016/j.injury.2016.10.029DOI Listing
December 2016
5 Reads

Reconstruction of Kuwada grade IV chronic achilles tendon rupture by minimally invasive technique.

Indian J Orthop 2016 Sep;50(5):523-528

Department of Orthopaedics, Institute of Orthopaedic Research, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, P. R. China.

Background: Transfer of a flexor hallucis longus (FHL) tendon can not only reconstruct the Achilles tendon but also provide ischemic tendinous tissues with a rich blood supply to enhance wound healing. This retrospective study aims to investigate clinical outcomes in patients who underwent repair of Kuwada grade IV chronic Achilles tendon rupture with long hallucis longus tendons harvested using a minimally invasive technique.

Materials And Methods: 35 patients who were treated for Kuwada grade IV Achilles tendon injuries from July 2006 to June 2011 were included in this retrospective study. Read More

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http://dx.doi.org/10.4103/0019-5413.189599DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017175PMC
September 2016
9 Reads

Flexor Hallucis Longus Tendon Transfer Fixation.

Foot Ankle Spec 2017 Feb 20;10(1):31-36. Epub 2016 Sep 20.

Wright State University Boonshoft School of Medicine, Dayton, Ohio.

Introduction: Flexor hallucis longus (FHL) tendon transfer to the calcaneus is commonly used in the surgical treatment of chronic Achilles tendinopathy. This study assesses the integrity of FHL tendon biotenodesis screw fixation with respect to 2 variables: incorporation of a terminal whipstitch and tunnel depth.

Materials And Methods: A total of 60 fresh-frozen cadaver FHL tendons and 28 calcanei were harvested for analysis in 4 sets of fixation constructs; 14 whipstitched tendons were compared against their nonwhipstitched paired tendon via pull-out strength load testing, and 16 tendon pairs were randomized for fixation in either a full-depth tunnel (bicortical) or a 25-mm partial tunnel (unicortical). Read More

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http://dx.doi.org/10.1177/1938640016666917DOI Listing
February 2017
2 Reads

Muscle-tendon glucose uptake in Achilles tendon rupture and tendinopathy before and after eccentric rehabilitation: Comparative case reports.

Phys Ther Sport 2016 Sep 30;21:14-9. Epub 2015 Nov 30.

Neuromuscular Research Center, Department of Biology of Physical Activity, University of Jyväskylä, Finland. Electronic address:

Achilles tendon rupture (ATR) is the most common tendon rupture injury. The consequences of ATR on metabolic activity of the Achilles tendon and ankle plantarflexors are unknown. Furthermore, the effects of eccentric rehabilitation on metabolic activity patterns of Achilles tendon and ankle plantarflexors in ATR patients have not been reported thus far. Read More

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http://dx.doi.org/10.1016/j.ptsp.2015.11.003DOI Listing
September 2016
6 Reads

Minimally invasive plate osteosynthesis using posterolateral approach for distal tibial and tibial shaft fractures.

Injury 2016 Aug 11;47(8):1862-6. Epub 2016 Jun 11.

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Department of Orthopaedic Surgery, Okayama, Japan.

Objective: The objective of the study was to evaluate the effectiveness of the posterolateral minimally invasive plate osteosynthesis (MIPO) method for managing distal tibial or tibial shaft fractures with severe anterior and medial soft tissue injuries.

Materials And Methods: Five consecutive patients with three distal tibial and two tibial shaft fractures (three open fractures) at a level-1 trauma and tertiary referral center were retrospectively reviewed. All patients were definitively treated and followed to bone union. Read More

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http://dx.doi.org/10.1016/j.injury.2016.06.017DOI Listing
August 2016
15 Reads

Treatment of Chronic Achilles Tendon Ruptures With Large Defects.

Foot Ankle Spec 2016 Oct 21;9(5):400-8. Epub 2016 Mar 21.

Rothman Institute Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Unlabelled: Background When Achilles tendon ruptures become chronic, a defect often forms at the rupture site. There is scant literature regarding the treatment of chronic Achilles ruptures with defects of 6 cm or larger. We examined outcomes from combining a turndown of the proximal, central Achilles with a flexor hallucis longus (FHL) tendon transfer to treat this condition. Read More

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http://dx.doi.org/10.1177/1938640016640895DOI Listing
October 2016
32 Reads

Outcome of Lateral Transfer of the FHL or FDL for Concomitant Peroneal Tendon Tears.

Foot Ankle Int 2016 Jun 24;37(6):576-81. Epub 2016 Feb 24.

Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, MD, USA.

Background: Concomitant tears of the peroneus longus and brevis tendons are rare injuries, with literature limited to case reports and small patient series. Only 1 recent study directly compared the results of single-stage lateral deep flexor transfer, and no previous series objectively evaluated power and balance following transfer. The purpose of this study was to evaluate clinical outcomes, patient satisfaction, and objective power and balance data following single-stage flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendon transfers for treatment of concomitant peroneus longus and brevis tears. Read More

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http://dx.doi.org/10.1177/1071100716634762DOI Listing
June 2016
37 Reads

Entrapment of the flexor hallucis longus tendon following ankle arthrodesis.

Foot (Edinb) 2016 Mar 25;26:45-7. Epub 2016 Jan 25.

Cambridge University Hospitals NHS Trust, Hills Road, Cambridge CB2 2QQ, United Kingdom. Electronic address:

Impingement following arthroscopic ankle arthrodesis has not been reported in the literature previously. We present a case report of a 68-year-old male 9 months following an uncomplicated arthroscopic ankle fusion presenting with persistent posteromedial ankle pain. Flexor hallucis longus (FHL) tendon impingement resulting from a prominent os trigonum was identified. Read More

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http://dx.doi.org/10.1016/j.foot.2016.01.001DOI Listing
March 2016
3 Reads

A Closed Lateral Subtalar Dislocation With Checkrein Deformity of Great Toe due to Entrapment of Flexor Hallucis Longus: A Case Report.

Foot Ankle Spec 2016 Oct 4;9(5):461-4. Epub 2016 Feb 4.

Department of Orthopedic Surgery, Apollo Hospital, New Delhi, India (YST, YK)Department of Orthopedics, PGIMER & Dr R.M.L Hospital, New Delhi, India (SS, RKA, NA, AM).

Unlabelled: Closed lateral subtalar dislocation is a very rare injury. We report a case of closed lateral subtalar dislocation with entrapment of flexor hallucis longus tendon producing a checkrein deformity. The patient was managed immediately with closed reduction under regional anesthesia and fixated with percutaneous Kirschner wires. Read More

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http://dx.doi.org/10.1177/1938640016630060DOI Listing
October 2016
5 Reads

The safety of the posterior ankle arthroscopy in management of posterior ankle impingement: A cadaveric study.

Authors:
T H Lui L K Chan

Foot (Edinb) 2016 Jun 11;27:4-9. Epub 2015 Sep 11.

Institute of Medical and Health Sciences Education and Department of Anatomy, The University of Hong Kong, Li Ka Shing Faculty of Medicine, Hong Kong SAR, China. Electronic address:

Background: Arthroscopic management of the posterior ankle impingement with the patient in supine position has the advantage of dealing with anterior ankle pathology at the same time without the need to change position of the patient. This study aims at evaluation of the safety of portal establishment and instrumentation of this technique.

Methods: Sixteen fresh-frozen cadaver specimens were used. Read More

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http://dx.doi.org/10.1016/j.foot.2015.09.004DOI Listing
June 2016
4 Reads

Combined Tendon and Bone Allograft Transplantation for Chronic Achilles Tendon Ruptures.

Clin Podiatr Med Surg 2016 Jan 30;33(1):125-37. Epub 2015 Aug 30.

Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, N1, Pittsburgh, PA 15224, USA.

Combined flexor hallucis longus tendon transfer and bone-tendon allograft transplantation is a reasonable option for advanced distal-segment Achilles tendinopathy. This procedure provides anatomic restoration and improved function of the posterior muscle group without sacrificing the regional anatomy. Allograft transplantation is safe and does not require immunosuppressive therapy. Read More

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http://dx.doi.org/10.1016/j.cpm.2015.07.003DOI Listing
January 2016
14 Reads

Flexor Hallucis Longus Tendon Transfer for Calcific Insertional Achilles Tendinopathy.

Clin Podiatr Med Surg 2016 Jan 13;33(1):113-23. Epub 2015 Aug 13.

Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address:

Calcific insertional Achilles tendinopathy can result in significant pain and disability. Although some patients respond to nonoperative therapy, many patients are at risk for long-term morbidity and unpredictable clinical outcomes. There is no evidence-based data to support the timing of operative invention, choice of procedures, or whether equinus requires treatment. Read More

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http://www.josonline.org/pdf/v17i2p194.pdf
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http://dx.doi.org/10.1016/j.cpm.2015.07.002DOI Listing
January 2016
48 Reads

Operative and Nonoperative Management of Achilles Tendon Ruptures in Active Duty Military Population.

Foot Ankle Int 2016 Mar 4;37(3):269-73. Epub 2015 Nov 4.

Trauma and Foot and Ankle Surgery, Department of Orthopedics, Naval Medical Center San Diego, San Diego California, San Diego, CA, USA.

Background: The optimal management of Achilles tendon ruptures continues to be a subject of debate in orthopedics. These injuries are common in the active duty military population. The purpose of this study was to retrospectively compare the results of operative and nonoperative management of Achilles tendon ruptures in the active duty military population following the publication of a landmark level I study that has influenced practice patterns. Read More

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http://dx.doi.org/10.1177/1071100715615322DOI Listing
March 2016
6 Reads

Safe Zone for the Plantar Portal: A Cadaveric Study.

Foot Ankle Int 2016 Feb 4;37(2):210-7. Epub 2015 Nov 4.

Department of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Background: Understanding the plantar nerve anatomy is crucial for safe endoscopic surgery of the sole. We aimed to anatomically dissect the lateral aspect and soles of cadaveric feet to investigate the safety of peroneus longus tendoscopy with a plantar lateral portal and the safe zones for plantar portals.

Methods: We studied 36 feet of 24 cadavers (mean age, 86. Read More

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http://dx.doi.org/10.1177/1071100715607964DOI Listing
February 2016
4 Reads

Neglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon.

Acta Orthop Belg 2015 Sep;81(3):553-60

Neglected Achilles Tendon Ruptures are commonly seen by orthopaedic surgeons. In cases resistant to conservative treatment, a variety of surgical procedures have been utilized in the past. The senior -surgeon at our institution has utilized a technique -employing two turndown fascia flaps fashioned from the proximal Achilles tendon augmented by a tenomyodesis of the flexor hallucis longus and plantaris tendon. Read More

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September 2015
12 Reads

Disorders of the Flexor Hallucis Longus and Os Trigonum.

Clin Sports Med 2015 Oct 23;34(4):741-59. Epub 2015 Jul 23.

Department of Orthopaedics and Rehabilitation, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA. Electronic address:

Os trigonum syndrome with disease of the flexor hallucis longus tendon, so-called stenosing flexor tenosynovitis, is a common cause of posterior ankle impingement. Conservative treatment is the recommended first line of treatment, with secondary treatment options of either open or arthroscopic os trigonum excision with flexor hallucis longus retinaculum release. The arthroscopic approaches have gained popularity in the past decade because of less scarring, less postoperative pain, minimal overall morbidity, and earlier return to activities. Read More

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http://dx.doi.org/10.1016/j.csm.2015.06.005DOI Listing
October 2015
5 Reads

Toe Flexor Strength, Flexibility and Function and Flexor Hallucis Longus Tendon Morphology in Dancers and Non-Dancers.

Med Probl Perform Art 2015 09;30(3):152-6

Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 East Alcazar Street, CHP-155, Los Angeles, CA 90089, USA. Tel 323-442-2911, fax 323-442-1515.

Tendinopathy of the flexor hallucis longus (FHL), colloquially referred to as "dancer's tendinitis," is a common condition in dancers and attributed to high demand on this muscle in positions of extreme ankle plantarflexion and metatarsophalangeal (MTP)) flexion and extension. Despite such a high prevalence, there has been little research into preventative or nonsurgical interventions. As a means to identify potential targets for prevention and intervention, this study aimed to characterize toe flexors in dancers by measuring strength, flexibility, function, and FHL tendon morphology. Read More

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http://dx.doi.org/10.21091/mppa.2015.3029DOI Listing
September 2015
28 Reads

Use of a Hunter Rod for Staged Reconstruction of Peroneal Tendons.

J Foot Ankle Surg 2016 Jan-Feb;55(1):198-200. Epub 2015 Aug 14.

Director, Podiatric Medicine and Surgery, Rothman Institute, Philadelphia, PA.

Peroneal tendon pathology is a commonly reported cause of lateral ankle pain. The causes include cavovarus foot type, overuse, chronic tendinosis, peroneal subluxation or dislocation, acute traumatic split tears, and traumatic rupture. The purpose of the present report is to describe an alternative approach for surgical reconstruction of the peroneal tendons in patients when repair might no longer be effective. Read More

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http://dx.doi.org/10.1053/j.jfas.2015.06.010DOI Listing
October 2016
4 Reads

Fracture of the Posterior Process of the Talus With Concomitant Subtalar Dislocation.

J Foot Ankle Surg 2016 Jan-Feb;55(1):193-7. Epub 2015 Jul 26.

Department of Orthopaedic Surgery, Yeungnam University Hospital, Daegu, Korea.

Fracture of the posterior process of the talus with concomitant subtalar dislocation is rare; thus, the mechanism of injury, appropriate treatment, and prognosis are unclear. We report the case of a 50-year-old male with a fracture of the posterior process of the talus with concomitant subtalar dislocation that was recognized early and successfully treated operatively. Read More

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http://dx.doi.org/10.1053/j.jfas.2015.05.006DOI Listing
October 2016
4 Reads

[Flexor hallucis tendon transfer combined with an interference screw reconstruction for chronic Achilles tendon rupture of Kuwada IV].

Zhongguo Gu Shang 2015 May;28(5):450-3

Objective: To explore the clinical effect of interference screw and flexor hallucis longus tendon as augmentation material in repair of chronic Achilles tendon rupture.

Methods: From September 2010 to June 2012,26 patients with chronic Achilles tendon rupture were treated, including 18 males and 8 females with an average age of 44.2 years old (20 to 66 years old). Read More

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May 2015
33 Reads

[Imaging study of ankle injury in professional soccer player of males].

Zhonghua Yi Xue Za Zhi 2015 May;95(17):1290-4

Department of Medical Imaging, Third Affiliated Hospital, Southern Medical University, the Institute of Medical Imaging of Bone and Joints, Academy of Orthopedics Guangdong Province, Guangzhou 510630, China.

Objective: To analyze the imaging abnormal findings of ankle injuries in professional soccer player of males.

Methods: The thirty-two professional soccer players in local region soccer club had been selected as research objects from March 2014 to January 2015, and all were men. Average age was 22. Read More

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May 2015
9 Reads