Extensor hallucis longus tendon tear

Case contributed by Dr Maulik S Patel

Presentation

Cut injury to the dorsum of the midfoot a few hours ago. Loss of great toe extension.

Patient Data

Age: 17 years
Gender: Female
Ultrasound

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.

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Case information

rID: 51527
Case created: 23rd Feb 2017
Last edited: 16th Aug 2017
Inclusion in quiz mode: Included

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