Right foot acute pediatric extensor hallucis longus end to end repair with semitendinosus graft application: A case report

Abstract

A 11 year old female was referred to Podiatric Surgeon by Plastic Surgeon for right foot lacerations and lateral fibular fracture that had occurred one month prior. Patient had no known past medical history and states that she is a very active dancer. Patient states she was on vacation with her family on a Caribbean island where while rough housing with her sibling, she stepped on a broken glass bottle leading to inverting her ankle. Patient sustained multiple lacerations to her foot and ankle. A plastic surgeon on holiday at the same Caribbean resort was able to provide immediate medical attention to the patient. The right hallux upon physical examination was noted to be in fixed plantarflexion and lacked the ability to manually extend her right hallux upon command. Magnetic Resonance Imaging was done to evaluate the integrity of the long extensor tendon. Imaging of the right foot showing a 4 cm tear of the extensor hallucis longus tendon at the level of the proximal first metatarsal. Patient underwent a procedure for extensor hallucis longus repair with semitendinosus graft application.