Two Cases of Flexor Hallucis Longus Tenosynovitis with Highly Viscous Fluid Accumulation: the Role of Ultrasound Imaging.

IF 2.4 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-15 DOI:10.1097/PHM.0000000000002812

Flynn McGuire, Andrea Carefoot, Skyler Blair, Daniel M Cushman

引用次数: 0

Abstract

Abstract: Soft tissue injuries of the medial ankle including the Flexor Hallucis Longus (FHL) can be difficult to diagnose because of the complex functional regional anatomy. FHL tenosynovitis is a relatively uncommon but well-described phenomenon in sports that require repetitive forefoot push-off in extreme plantar flexion. Though more work needs to be done to differentiate subtleties in imaging, identifying if the fluid can be easily compressed by sonographic pressure may help differentiate a typical FHL tenosynovitis from one with viscous, ganglion-like fluid. Here we describe two cases of viscous FHL that were resistant to treatment with regular care.

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2例幻觉长屈肌腱鞘炎伴高粘稠积液的超声显像分析。

摘要：内侧踝关节包括幻觉长屈肌（FHL）的软组织损伤由于其复杂的功能区域解剖结构而难以诊断。FHL腱鞘炎是一种相对不常见但描述良好的运动现象，需要在极端足底屈曲中重复前足推离。虽然需要做更多的工作来区分成像上的细微差别，但确定液体是否容易被超声压力压缩，可能有助于区分典型的FHL腱鞘炎与粘稠的神经节样液体。在这里，我们描述了两例粘性FHL耐药的治疗与常规护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).