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Related Experiment Videos

Triggering of the great toe. A case report.

J R McCarroll, M A Ritter, T E Becker

    Clinical Orthopaedics and Related Research
    |May 1, 1983
    PubMed
    Summary

    A 20-year-old athlete experienced great toe pain due to the flexor hallucis longus tendon becoming entrapped. Surgical release of the tendon sheath effectively resolved the triggering and locking symptoms.

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    [Not Available].

    MMW Fortschritte der Medizin·2016

    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Anatomy

    Background:

    • The flexor hallucis longus (FHL) tendon is crucial for great toe plantarflexion and propulsion.
    • Tendon sheath entrapment can cause pain and functional limitation, particularly in athletes.
    • Conservative treatments often fail for FHL tendon entrapment.

    Observation:

    • A 20-year-old male athlete presented with painful triggering and locking of the great toe.
    • Symptoms were localized to the posterior aspect of the left medial malleolus.
    • Physical examination revealed no tendon fiber rupture or inflammation.

    Findings:

    • Open surgical exploration identified an elongated FHL tendon entrapped within its sheath.
    • The entrapment occurred posterior to the medial malleolus in the ankle region.
    • Histological examination ruled out tendonitis or supernumerary muscle.

    Implications:

    • Surgical release of the entrapped FHL tendon is an effective treatment for this condition.
    • Understanding anatomical variations, like tendon elongation, is key to diagnosing FHL entrapment.
    • This case highlights the importance of considering tendon sheath issues in athletic foot pain.

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