Endoscopic Resection of Sustentaculum Tali Bone Spur

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery
• Sports Medicine

Background:

• The flexor hallucis longus tendon is prone to injury, including impingement, tears, and ruptures.
• Common sites for flexor hallucis longus tendon pathology include the fibro-osseous tunnel near the sustentaculum tali, the master knot of Henry, and the intersesamoid ligament.
• Entrapment of the flexor hallucis longus tendon by a sustentaculum tali bone spur is a recognized clinical problem.

Purpose of the Study:

• To detail the technique for endoscopic resection of a sustentaculum tali bone spur.
• To describe a minimally invasive surgical approach for treating flexor hallucis longus tendon entrapment.

Main Methods:

• Endoscopic surgical technique.
• Resection of sustentaculum tali bone spur.
• Focus on avoiding extensive soft-tissue dissection.

Main Results:

• Successful endoscopic removal of the offending bone spur.
• Preservation of surrounding soft tissues through a minimally invasive approach.
• Avoidance of the morbidity associated with open surgical dissection.

Conclusions:

• Endoscopic resection of sustentaculum tali bone spurs is a feasible and effective treatment.
• This minimally invasive technique offers an alternative to open surgery for flexor hallucis longus tendon entrapment.
• The endoscopic approach may reduce surgical trauma and improve patient recovery.