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Case Reports
. 2020 Feb 24:26:100288.
doi: 10.1016/j.tcr.2020.100288. eCollection 2020 Apr.

Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report

Yuan-Lu Wu  1 , Peng-Ju Huang  1   2 , Yuh-Min Cheng  3   2 , Shu-Jung Chen  1
Affiliations
Case Reports

Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report

Yuan-Lu Wu et al. Trauma Case Rep. .

Erratum in

Abstract

Post-traumatic isolated big toe extensor contracture after tibiofibular fracture is uncommon and only a few cases have been reported. Major causes of it include anterior compartment syndrome, direct injury, entrapment or adhesion of the muscle or tendon.We present an uncommon case of isolated extensor hallucis longus (EHL) tendon contracture following a distal tibiofibular shaft fracture without compartment syndrome of the affected leg or foot. The clinical outcome is good after Z-lengthening of the EHL tendon and abductor hallux tendon in 1-year follow-up.

Level of clinical evidence: 5.

Keywords: Abductor hallux tendon; Contracture; Extensor hallucis longus; Tibiofibular fracture; Z-lengthening.

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Conflict of interest statement

The author(s) declared the following conflicts of interest with respect to the research, authorship, and/or publication of this.

Figures

Fig. 1
Fig. 1
Extension contracture of right 1st toe is more evident while plantarflexion than dorsiflexion.
Fig. 2
Fig. 2
Anteroposterior, Lateral view of union of distal tibia-fibula fractures.
Fig. 3
Fig. 3
Incision site at dorsal side of right foot and old operative scar at the anterior side of distal lower leg and Operation demonstration.
Fig. 4
Fig. 4
Improved 1st toe position after Z-lengthening operation while plantarflexion and dorsiflexion.
See this image and copyright information in PMC

References

    1. Cho B.K., Kim Y.M., Kim D.S., Choi E.S., Park J.K., Oh J.W. Dynamic positional deformity of the hallux. J Foot Ankle Surg. 2014;53:791–793. - PubMed
    1. Heo Y.M., Roh J.Y., Kim S.B., Kim J.Y., Lee J.B., Kim K.K. Contracture of extensor hallucis longus tendon occurring after intramedullary nailing for a tibial fracture. J Korean Orthop Assoc. 2010;45:399–403.
    1. Lin C.C., Hsu C.H., Lin C.Y., Lu T.C. Contracture of extensor hallucis longus resulting from fibular and tibial midshaft fractures. Fu-Jen Journal of Medicine. 2015;13:99–104.
    1. Sharma G., Makwana N.K., Guha A.R. Extensor hallucis longus tendon contracture following triplane fracture of the tibia. Foot Ankle Surg. 2007;13:76–79.
    1. Santi M.D., Botte M.J. Volkmann’s ischemic contracture of the foot and ankle: evaluation and treatment of established deformity. Foot Ankle Int. 1995;16:369–377. - PubMed

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