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Acute rupture of the extensor hallucis longus tendon
1Division of Orthopaedic Surgery, Ehrling-Bergquist Hospital, Offutt AFB, Nebraska 68113, USA.
Foot & Ankle International
|January 1, 1995
Summary
A ruptured extensor hallucis longus tendon in a patient with degenerative joint disease was successfully treated with delayed primary repair. This case highlights a viable surgical option for extensor hallucis longus tendon injuries.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Tendon Repair
Background:
- Degenerative joint disease of the first metatarsophalangeal (MTP) joint can lead to pain and functional limitations.
- Previous treatments for first MTP joint disease include cheilectomy and corticosteroid injections.
- Tendon ruptures, though less common, can occur in the foot and ankle, impacting mobility.
Observation:
- A 40-year-old male patient presented with an acute rupture of the extensor hallucis longus (EHL) tendon.
- The patient had a history of cheilectomy and two steroid injections for first MTP degenerative joint disease.
- The rupture occurred in the context of pre-existing first MTP joint pathology.
Findings:
- The patient underwent delayed primary repair of the ruptured extensor hallucis longus tendon.
- The surgical intervention resulted in a successful outcome.
- Functional recovery was achieved following the tendon repair.
Implications:
- Delayed primary repair is a feasible and effective treatment for acute extensor hallucis longus tendon ruptures, even in the presence of prior MTP joint interventions.
- This approach may offer a valuable alternative to non-operative management or other surgical techniques.
- Further research could explore long-term outcomes and patient-reported satisfaction after delayed primary repair for EHL tendon injuries.