Release of the Flexor Hallucis Longus Tendon in Ballet Dancers

Kolettis, George J.; Micheli, L J; Klein, Jeffrey D.

doi:10.1097/00004694-199703000-00033

Cited by 8 publications

(29 citation statements)

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“…15) is not always stenosing; it has been described in athletes [32], especially runners [33]. Posterior impingement by the talus has been documented in ballet dancers [34,35]. Some groups have described conflict at the level of the sesamoids on the plantar aspect of the great toe [36,37].…”

Section: Stenosing Tenosynovitis Of the Flexor Hallucis Tendonmentioning

confidence: 99%

Stenosing tenosynovitis

Vuillemin

Guérini

Bard³

et al. 2012

Journal of Ultrasound

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Tenosynovitis refers to an inflammatory condition involving the synovial sheath of a tendon. Stenosing tenosynovitis is a peculiar entity caused by multiple factors, including local anatomy, mechanical factors, and hormonal factors. The main forms include de Quervain tendinopathy; trigger finger (stenosing tenosynovitis involving the flexor digitorum tendons); stenosing tenosynovitis of the extensor carpi ulnaris, extensor carpi radialis, or extensor comunis tendons; stenosing tenosynovitis of the flexor hallucis tendon; and stenosing tenosynovitis of the peroneal tendons. The cardinal finding on ultrasonography is the presence of a thickened retinaculum or pulley that constricts the osseofibrous tunnel through which the tendon runs.Sommario Le tenosinoviti sono infiammazioni delle guaine sinoviali dei tendini. Le tenosinoviti stenosanti sono delle entità particolari, condizionate da molteplici fattori. Si tratta di patologie favorite dall'anatomia locale, da fattori meccanici ed ormonali. Le principali tenosinoviti stenosanti sono: la tendinopatia di de Quervain, la tenosinovite stenosante dei tendini flessori delle dita o dito a scatto, la tenosinovite stenosante del tendine estensore ulnare del carpo, dei tendini estensori radiali del carpo e degli estensori comuni, la tenosinovite stenosante del tendine flessore dell'alluce, la tenosinovite stenosante dei tendini peronei. La loro diagnosi si basa sull'ecografia, che mostra un segno cardine: l'ispessimento del retinacolo o della puleggia rispetto al tendine ed il suo carattere stenosante. ª

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Section: Stenosing Tenosynovitis Of the Flexor Hallucis Tendonmentioning

confidence: 99%

Stenosing tenosynovitis

Vuillemin

Guérini

Bard³

et al. 2012

Journal of Ultrasound

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“…31 The most common location of tenosynovitis is within the fibrous-osseous tunnel posterior to the medial malleolus; however, it can occur along the master knot of Henry or beneath the intersesamoid ligament. [31][32][33] FHL tenosynovitis is typically ascribed to the female ballet dancers 22,34,35 ; however, it can be seen in patients with os trigonum syndrome; forceful plantarflexion activities such as soccer, downhill running, swimming, ice skating, and gymnastics; and flexor digitorum accessorius longus. [34][35][36][37][38][39][40] It is a part of the os trigonum or posterior ankle impingement syndrome.…”

Section: Flexor Hallucis Longusmentioning

confidence: 99%

“…22,34,49 In a ballet dancer, forced hyperplantarflexion of the ankle, particularly en pointe, may cause direct compression of the FHL through kinking of the tendon where it enters the fibro-osseous tunnel and lead to painful tenosynovitis. 22,35,37 …”

Section: Flexor Hallucis Longus Stenosing Tenosynovitismentioning

confidence: 99%

“…31 The mean improvement of VAS at the final follow-up was 5.5 2 and the mean improvement of AOFAS scores was 89.9 points in the arthroscopic approach, 31,60 whereas no outcomes scores were reported in studies using the open approach. Reportedly, 81.1% to 100% 18,35 and 81% to 100% 31,60 of patients can return to previous activities and sports 18,35 after FHL release in open and arthroscopic approaches, respectively. Average time to return to activities is 12 to 25 weeks 18,35,40 in the open approach and 6 to 8 weeks in the arthroscopic approach.…”

Section: Clinical Outcomes Os Trigonummentioning

confidence: 99%

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Disorders of the Flexor Hallucis Longus and Os Trigonum

Rungprai

Tennant

Phisitkul

2015

Clinics in Sports Medicine

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“…Aynı zamanda semptomatik os trigonum FHL'nin tenosinoviti ile ilişkili olabilir. [46][47][48] Arka ayak artroskopisi semptomatik os trigonumun çıkarılması için emniyetli ve minimal invaziv bir yöntemdir.…”

Section: Diğer Endikasyonlarunclassified

Ankle arthroscopy: indication and technique

Aydın¹

2013

TOTBİD Dergisi

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Ayak bileği artroskopisi, artrotomi veya malleoler osteotomi yapılmaksızın eklemin gözlenmesi ve eklem için-de cerrahi girişim yapılmasına olanak sağlayan endoskopik bir yöntemdir. İlk kez kadavrada tanımlanan ayakbileği artroskopisi 1980'li yıllarda geliştirilmiştir. Günümüzde ise, üçüncü sıklıkta kullanılan bir yöntem-dir. Ayak bileği artroskopisi (ön ve arka) ve ard ayak endoskopisi ile ayak bileğinin tümü ve ard ayak, subtalar eklem ve Aşil tendonunun yapışma yerindeki patolojilerinin tanı ve tedavisi mümkün olmaktadır. Diğer eklemlere kıyasla bu yöntemin komplikasyon oranı nispeten yüksek (%9-17) olup, çoğunlukla portaller ile ilgilidir. Çoğunluğunu da sinir yaralanmaları (%48) oluşturur. Bu nedenle, portal anatominin öğrenilmesi, ilk basamak olmalıdır. Sıkışma sendromları (yumuşak doku ve kemik) ve talusun osteokondral lezyonları başarılı sonuçların elde edildiği klinik durumlardır. Birçok eklem içi patoloji, dejeneratif artrit, septik artrit, instabiliteler peroneal tendon ve fleksör hallusis longus tendonu patolojilerinde, Os Trigonum sendromu ve Hauglund deformitesinde, Aşil tendonu yapışma yeri patolojilerin tedavisinde de yararlı olur.Anahtar sözcükler: Ayak bileği artroskopisi; komplikasyon; sıkış-ma sendromları; ard ayak endoskopisi; talusun osteokondral lezyonu.• İletişim adresi: Dr. Ahmet Turan Aydın. Özel Memorial Antalya Hastanesi, Ortopedi ve Travmatoloji Bölümü,

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Release of the Flexor Hallucis Longus Tendon in Ballet Dancers

Cited by 8 publications

References 0 publications

Stenosing tenosynovitis

Stenosing tenosynovitis

Disorders of the Flexor Hallucis Longus and Os Trigonum

Ankle arthroscopy: indication and technique

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