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A Neglected Extensor Hallucis Longus Tendon Rupture Caused by Arthritic Adhesion
Sung Hun Won1, Sung Hwan Kim2, Young Koo Lee2
1Department of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul, 59, Daesagwan-ro, Yongsan-gu, Seoul 04401, Republic of Korea.
Medicina (Kaunas, Lithuania)
|June 28, 2023
Summary
Extensor hallucis longus tendon rupture is rare, often caused by trauma. Arthritis can lead to adhesions, increasing rupture risk even with minor injury.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Extensor hallucis longus tendon injuries are uncommon, typically resulting from direct lacerations.
- Chronic tears can lead to tendon contracture and deformities like claw toe.
- Early diagnosis and intervention are crucial for managing tendon injuries.
Observation:
- A 44-year-old male presented with right foot pain and difficulty extending the great toe.
- Magnetic resonance imaging revealed a ruptured extensor hallucis longus tendon with proximal retraction.
- Osteoarthritic changes were noted in the adjacent joint and soft tissues.
Findings:
- The patient was diagnosed with extensor hallucis longus tendon rupture associated with arthritis.
- Surgical tenorrhaphy and adhesiolysis were performed.
- The rupture was attributed to minor trauma, exacerbated by pre-existing arthritis and adhesions.
Implications:
- This case highlights the risk of tendon rupture in patients with foot and ankle arthritis.
- Arthritis-related adhesions can predispose tendons to rupture from minor stress or stretching.
- Early recognition of tendon adhesion in arthritic conditions is vital for preventing catastrophic tendon failure.
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