Bilateral Tendonitis of the Flexor Hallucis Longus in a Ballet Dancer

Hr, Cowell; Elener,; Sm, Lawhon

doi:10.1097/01241398-198212000-00022

Cited by 20 publications

(3 citation statements)

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“…Luke and coworkers 20 reported that 31% of all reportable injuries (physical therapist) were ankle injuries, and that among these the most common were tendinopathy and strain (10 of 22 cases) and ankle sprain (4 of 22 cases). Notably, stress-related injury of the lower leg and foot of young ballet dancers, including stress fracture, [45][46][47][48][49] posterior ankle impingement, 7,8,50,51 and tendinopathy, 7,[52][53][54] are commonly reported.…”

Section: Lower Extremitymentioning

confidence: 99%

Epidemiological Review of Injury in Pre-Professional Ballet Dancers

et al. 2015

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The objective of this study was to provide an epidemiological review of the literature concerning ballet injuries affecting pre-professional ballet dancers. The literature search was limited to published peer-reviewed reports and involved an extensive examination of Scopus, SPORTDiscus, and CINAHL. The following search terms were used in various combinations: ballet, injury, epidemiology, risk factor, pre-professional, and intervention. Additional citations were located using the ancestry approach. Unlike some other athletic activities that have been the focus of recent intervention research, there is a paucity of intervention and translational research in pre-professional ballet, and sample sizes have often been small and have not accounted for the multivariate nature of ballet injury. Exposure-based injury rates in this population appear similar to those reported for professional ballet dancers and female gymnasts. A preponderance of injuries affect the lower extremity of these dancers, with sprains and strains being the most frequent type of injury reported. The majority of injuries appear to be overuse in nature. Injury risk factors have been tested in multiple studies and indicate a variety of potential injury predictors that may provide useful guidance for future research.

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Section: Lower Extremitymentioning

confidence: 99%

Epidemiological Review of Injury in Pre-Professional Ballet Dancers

et al. 2015

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“…1,2,27 At surgery it was noted that the flexor hallucis longus tendon had some mild degenerative changes but there were no findings of tears, longitudinal disruptions or nodular swelling. 1,4,7,9 –11,14 –21,24,25,28,30 –32 The tendon of the accessory flexor digitorum longus was normal in its appearance with no degenerative changes. The only inflammation was in proximal portion of the retinaculum at the ankle and at the musculotendinous junction of the accessory flexor digitorum longus.…”

Section: Discussionmentioning

confidence: 95%

The Accessory Flexor Digitorum Longus as a Cause of Flexor Hallucis Syndrome

Eberle

Moran²,

Gleason³

2002

Foot Ankle Int.

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The Flexor Hallucis Syndrome has been associated with ballet and sports activities. It has been thought to represent over use with attendant tenosynovitis of the tendon in the fibro-osseous tunnel extending from the ankle to the midfoot. We report a patient with an accessory flexor digitorum longus who presented with classical clinical features of the syndrome. The patient's disabling symptoms persisted despite a year and a half of nonoperative treatment. They were finally relieved when the accessory muscle was excised. In addition to the previously described clinical features of the Flexor Hallucis Syndrome, the physical exam included abnormal fullness between the Achilles tendon and the tibia. When the ankle was held in dorsiflexion, there was limited dorsiflexion of the lateral toes, which were tethered by the "cork-in-a-bottle" effect of the distal muscle mass of the accessory flexor digitorum longus muscle at the flexor retinaculum and fibro-osseous canal of the flexor hallucis longus. The MRI examination confirmed the presence of an abnormal muscle mass extending distal to the ankle joint with the foot in neutral. The study also demonstrated fluid in the ankle joint and fibro-osseous canal of the flexor hallucis, and marrow edema within the body of the talus consistent with chronic inflammation. Follow-up MRI six months after excision of the muscle revealed some scar formation at the site of the previously excised muscle and complete resolution of the joint effusion, fluid in the tunnel of the flexor hallucis, and marrow edema.

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“…Care should be taken as it is difficult for diagnosis of tenosynovitis of the FHL with preoperative imaging 7 , especially in the early stage cases. For treating this disorder, operative release of the FHL is recommended when disabling symptoms persist despite non-operative treatment [8][9][10][11][12] , and hindfoot endoscopic surgery is beneficial, especially for athletes who expect to return to their initial athletic activities with a shorter recovery time. After removing the hypertrophic synovium over the FHL tendon with forceps, the hypertrophic flexor retinaculum, which lays at the insertion of the tarsal tunnel and/or abnormal bony structures, were removed with curved forceps and motorized shaver for decompression of the constricted FHL tendon (Figure 15).…”

Section: Normal Anatomymentioning

confidence: 99%

Posterior Ankle and Hindfoot Arthroscopy

Takao¹

2011

Modern Arthroscopy

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Bilateral Tendonitis of the Flexor Hallucis Longus in a Ballet Dancer

Cited by 20 publications

References 0 publications

Epidemiological Review of Injury in Pre-Professional Ballet Dancers

Epidemiological Review of Injury in Pre-Professional Ballet Dancers

The Accessory Flexor Digitorum Longus as a Cause of Flexor Hallucis Syndrome

Posterior Ankle and Hindfoot Arthroscopy

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