{"title":"Case Report Tendon Rerouting and Transfer for Atraumatic Rupture of the Flexor Hallucis Longus: A Case Report.","authors":"Toshifumi Hikichi, Hidenori Matsubara, Hideki Tsubouchi, Kentaro Igarashi, Tsukasa Fujieda, Tsuyoshi Tokita, Hiroyuki Tsuchiya","doi":"10.2106/JBJS.CC.24.00559","DOIUrl":null,"url":null,"abstract":"<p><strong>Case: </strong>A 59-year-old man developed a chronic atraumatic rupture of the flexor hallucis longus (FHL) tendon due to an os trigonum. The FHL to flexor digitorum longus (FDL) rerouting tendon transfer resulted in recovery of active motion in the hallux.</p><p><strong>Conclusion: </strong>Atraumatic chronic rupture of FHL is rare. Altering the course of FHL and tendon transfer is an easy and reliable technique for FHL chronic rupture. This technique avoids resection of the FDL and lowers the risk of FDL weakness.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JBJS case connector","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/JBJS.CC.24.00559","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Case: A 59-year-old man developed a chronic atraumatic rupture of the flexor hallucis longus (FHL) tendon due to an os trigonum. The FHL to flexor digitorum longus (FDL) rerouting tendon transfer resulted in recovery of active motion in the hallux.
Conclusion: Atraumatic chronic rupture of FHL is rare. Altering the course of FHL and tendon transfer is an easy and reliable technique for FHL chronic rupture. This technique avoids resection of the FDL and lowers the risk of FDL weakness.
期刊介绍:
JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.