Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report

Yuan-Lu Wu; Peng-Ju Huang; Yuh-Min Cheng; Shu-Jung Chen

Trauma Case Reports (Apr 2020)

Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report

Yuan-Lu Wu,
Peng-Ju Huang,
Yuh-Min Cheng,
Shu-Jung Chen

Affiliations

Yuan-Lu Wu: Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
Peng-Ju Huang: Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Kaohsiung Medical University, Taiwan; Corresponding author at: Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Yuh-Min Cheng: Department of Orthopedics, Health and Welfare Ministry, Pingtung Hospital, Pingtung, Taiwan; Kaohsiung Medical University, Taiwan
Shu-Jung Chen: Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Journal volume & issue: Vol. 26

Abstract

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Post-traumatic isolated big toe extensor contracture after tibiofibular fracture is uncommon and only a few cases have been reported. Major causes of it include anterior compartment syndrome, direct injury, entrapment or adhesion of the muscle or tendon.We present an uncommon case of isolated extensor hallucis longus (EHL) tendon contracture following a distal tibiofibular shaft fracture without compartment syndrome of the affected leg or foot. The clinical outcome is good after Z-lengthening of the EHL tendon and abductor hallux tendon in 1-year follow-up. Level of clinical evidence: 5. Keywords: Abductor hallux tendon, Contracture, Extensor hallucis longus, Tibiofibular fracture, Z-lengthening

Published in Trauma Case Reports

ISSN: 2352-6440 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/trauma-case-reports/

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