Arthroscopic Treatment of Tenosynovitis of the Flexor Hallucis Longus Tendon

被引:19
作者
Corte-Real, Nuno Manuel [1 ]
Moreira, Rodrigo Manuel [1 ]
Guerra-Pinto, Francisco [1 ]
机构
[1] GIGA Hosp Curry Cabral, Dept Orthopaed Surg, P-1600035 Lisbon, Portugal
关键词
Endoscopy; Flexor Hallucis Longus; Outcomes; Tendon Pathology; ANKLE; COMPLICATIONS; DANCERS;
D O I
10.3113/FAI.2012.1108
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Tenosynovitis of the flexor hallucis longus (FHL) tendon is a condition typically found in ballet dancers and sometimes in soccer players and is related to chronic overuse. A traumatic cause for this situation, such as an ankle sprain, is considered rare. In case of failure of conservative treatment, the tendon can be surgically released, which is usually done through an open procedure. This article presents the results of an arthroscopic release of the FHL. Methods: Twenty-seven patients underwent surgery for FHL tenosynovitis over a period of 18 months. The mean age of the patients was 34 years. All patients related the onset of the condition with an ankle sprain. Eighteen patients were on worker's compensation and five had sport-related accidents. None of the patients was a professional athlete or a ballet dancer. The mean follow-up was 32 months. The outcome was measured with a satisfaction questionnaire and with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scoring system. Results: The mean postoperative AOFAS score was 89 with 70% excellent or good results. Mean satisfaction rate was 4 (range, 0 to 5); 89% of the patients would undergo the procedure again. Twenty-two patients (81%) returned to the same level of activity in work and sports. A complication rate of 18% (five patients) and reoperation rate of 4% (one patient) were found. Conclusion: Arthroscopic release of the FHL tendon was a valid procedure. It was a minimally invasive surgery that allowed good visualization of the involved structures and yielded good results. This condition can be related to trauma and is not an exclusive disease of ballet dancers or overuse.
引用
收藏
页码:1108 / 1112
页数:5
相关论文
共 13 条
[1]   Os trigonum syndrome with flexor hallucis longus tenosynovitis in a professional football referee [J].
Cooper, ME ;
Wolin, PM .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1999, 31 (07) :S493-S496
[2]   Pain in the posterior aspect of the ankle in dancers - Differential diagnosis and operative treatment [J].
Hamilton, WG ;
Geppert, MJ ;
Thompson, FM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1996, 78A (10) :1491-1500
[3]   Ankle impingement: Combined anterior and posterior impingement syndrome of the ankle [J].
Henderson, I ;
La Valette, D .
FOOT & ANKLE INTERNATIONAL, 2004, 25 (09) :632-638
[4]   Diagnostic and therapeutic ankle tenography: Outcomes and complications [J].
Jaffee, NW ;
Gilula, LA ;
Wissman, RD ;
Johnson, JE .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (02) :365-371
[5]   Endoscopic flexor hallucis longus decompression: A cadaver study [J].
Keeling, John J. ;
Guyton, Gregory P. .
FOOT & ANKLE INTERNATIONAL, 2007, 28 (07) :810-814
[6]   Arthroscopy and endoscopy of the foot and ankle: Indications for new techniques [J].
Lui, Tun Hing .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2007, 23 (08) :889-902
[7]   Tenosynovitis of the flexor hallucis longus: A clinical study of the spectrum of presentation and treatment [J].
Michelson, J ;
Dunn, L .
FOOT & ANKLE INTERNATIONAL, 2005, 26 (04) :291-303
[8]   The flexor hallucis longus: Tenographic technique and correlation of Imaging findings with surgery in 39 ankles [J].
Na, JB ;
Bergman, AG ;
Oloff, LM ;
Beaulieu, CF .
RADIOLOGY, 2005, 236 (03) :974-982
[9]   Postoperative Complications of Posterior Ankle and Hindfoot Arthroscopy [J].
Nickisch, Florian ;
Barg, Alexej ;
Saltzman, Charles L. ;
Beals, Timothy C. ;
Bonasia, Davide E. ;
Phisitkul, Phinit ;
Femino, John E. ;
Amendola, Annunziato .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (05) :439-446
[10]  
Niek van Dijk C., 2006, FOOT ANKLE CLIN, V11, P663, DOI DOI 10.1016/J.FC1.2006.06.003