Partial Rupture of the Flexor Hallucis Longus Tendon in a Tennis Player: A Case Report
Partial Rupture of the Flexor Hallucis Longus Tendon in a Tennis Player: A Case Report
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网球运动员屈拇长肌腱部分断裂：病例报告
DOI：
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发表时间：
1995
影响因子：
2.7
通讯作者：
A. Newberg
中科院分区：
文献类型：
--
作者：
E. Trepman;M. Mizel;A. Newberg
一名39岁的女子在网球活动中向右旋转时，左大脚趾被迫背屈受伤。后内侧踝关节疼痛再现主动跖屈和被动背屈的大脚趾，在较小的程度上，小脚趾。症状持续9个月，尽管非手术治疗。受伤后5个月的磁共振成像显示，拇长屈肌腱（FHL）周围有液体。损伤后9个月的手术结果包括FHL和趾长屈肌腱鞘的瘢痕组织和腱鞘炎，远端FHL肌纤维撞击和FHL肌腱纵向撕裂（部分断裂）。进行肌腱松解术、腱鞘切除术、远端肌纤维切除术和部分肌腱断裂修复术，导致症状消退。FHL肌腱部分断裂作为一个单一的冲击损伤，或在活动以外的芭蕾舞，以前没有记录。
A 39-year-old woman sustained a forced dorsiflexion injury to the left great toe while pivoting to the right during tennis activity. Posteromedial ankle pain was reproduced with active plantarflexion and passive dorsiflexion of the great toe and, to a smaller extent, the lesser toes. Symptoms persisted for 9 months despite nonoperative treatment. Magnetic resonance imaging 5 months after injury revealed evidence of fluid surrounding the flexor hallucis longus (FHL) tendon. Operative findings 9 months after injury included scar tissue and tenosynovitis of the FHL and flexor digitorum longus tendon sheaths, with impingement of distal FHL muscle fibers and a longitudinal split tear (partial rupture) of the FHL tendon. Tenolysis, tenosynovectomy, excision of the distal muscle fibers, and repair of the partial tendon rupture were performed, resulting in resolution of symptoms. Partial rupture of the FHL tendon as a single-impact injury, or in activity other than ballet, has not been documented previously.