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Case Reports
. 2019 Dec 5;90(12-S):202-206.
doi: 10.23750/abm.v90i12-S.8933.

Traumatic extensor tendons injuries of the foot in childhood: a case report

Alessio Pedrazzini  1 , Pier Giulio Valenti, Nicola Bertoni, Bianca Pedrabissi, Henry Yewo Simo, Roberto Bisaschi, Vanni Medina, Francesco Ceccarelli, Francesco Pogliacomi
Affiliations
Case Reports

Traumatic extensor tendons injuries of the foot in childhood: a case report

Alessio Pedrazzini et al. Acta Biomed. .

Abstract

Background and aim of the work: Extensor tendon injuries of the foot in children represent a rare foot injury. We report a case of a 9 year-old male who suffered of a traumatic wound laceration in the distal third of the right leg with a glass the day before in another country, getting a combined injury of tibialis anterior (TA), extensor hallucis longus (EHL) and extensor digitorum longus (EDL).

Methods: After an initial clinical and radiological evaluation, antibiotic prophylaxis was immediately started. Surgery was necessary for the repair of the lesions and after rehabilitation the patient recovered a good function with a complete return to a normal life.

Results: 5 years follow-up clinical examination revealed a complete and painless range of movement comparable to the other foot. The patient regained active dorsiflexion without functional limitations, deformity or contracture.

Conclusions: Early exploration is important to allow full definition of the extent of injury and early surgical repair of tendons is recommended to avoid future disability.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Wound after stitches removal
Figure 2.
Figure 2.
Opening of the extensor retinaculum
Figure 3.
Figure 3.
Recognition of tendon stumps
Figure 4.
Figure 4.
Tenorraphy according to modified Kessler technique
Figure 5.
Figure 5.
Follow-up after 5 years; scar, complete extension of the right foot that is equal to the contralateral one
See this image and copyright information in PMC

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