Extensor hallucis longus tendon re-tear

Case contributed by Maulik S Patel
Diagnosis certain


History of cut injury by the glass - dorsum of mid/forefoot resulting in extensor hallucis longus tendon tear - 2 weeks back. A surgical repair was done. The patient presented with loss of tendon function during the last few hours.

Patient Data

Age: 50 yrs
Gender: Male

There is a complete tear of the EHL tendon. The fluid-filled gap between the two tendon edges is about 35 - 40 mm. Floating sutures are present in the fluid gap. The proximal torn end is at the level of the tarsometatarsal joint. The distal end is at the metatarso-phalangeal joint level.

With great toe passive movement (dynamic scan), there was no movement of the proximal tendon.

Case Discussion

Findings suggest re-tear of repaired extensor hallucis longus tendon.

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