Entrapment of Extensor Hallucis Longus Tendon Following Closed Fracture of the Lower-Third Tibia in an 11-Year-Old
1Children Orthopaedic Clinic, Surya Hospital, Mumbai, India.
JBJS Case Connector
|February 6, 2025
Abstract
Case:
An 11-year-old girl presented 8 months after conservative treatment of lower third fracture tibia with inability to extend the great toe. There was no neurovascular deficit. Radiograph showed a liner lucent band in the callus. Magnetic resonance imaging confirmed an entrapped, thinned out, intact extensor hallucis longus (EHL) tendon passing through a tunnel in the lower tibia. Surgical decompression was undertaken and tendon freed from bone.
Conclusion:
This is the first reported case of EHL entrapment following closed distal fracture of the tibia in the pediatric age group. We demonstrate full recovery of extensor at 1 year of review.
