Extensor hallucis longus tendon re-tear

Case contributed by Dr Maulik S Patel

Presentation

History of cut injury by glass - dorsum of mid / fore foot resulting in extensor hallucis longus tendon tear - 2 weeks back. Surgical repair was done few days back. Patient presented with loss of tendon function during last few hours.

Patient Data

Age: 50 yrs
Gender: Male
Ultrasound

There is complete tear of EHL tendon. Fluid filled gap between two tendon edge is about 35 - 40 mm. Floating sutures are present in fluid gap. Proximal end is at the level of the tarso-metatarsal joint. Distal end is at level of metatarso-phalangeal joint.

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

Case Discussion

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

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Case information

rID: 49520
Case created: 25th Nov 2016
Last edited: 22nd Mar 2017
Inclusion in quiz mode: Included

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