Presentation
Cut injury to the dorsum of the midfoot a few hours ago. Loss of great toe extension.
Patient Data
There is a skin - subcutaneous plane defect in the dorsum of the midfoot. The underlying extensor hallucis longus tendon shows discontinuity. Minimum distance between two edges of the tendon (with the foot in a neutral position) is 20 mm.
Dorsalis pedis artery is patent.
Case Discussion
There is a case of cut injury to dorsum of the midfoot with loss of great toe extension. Ultrasound shows a complete tear of the extensor hallucis longus tendon deep to skin breach.
Surgery revealed a complete tendon cut, which was repaired.