Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy
Endoscopy for the posterior region of the ankle through two portals is becoming more widespread for the treatment of a large number of conditions which used to be treated with open surgery years ago. The tendon of the flexor hallucis longus (FHL) travels along an osteofibrous tunnel between the post...
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Language: | English |
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Wiley
2015-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2015/823107 |
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author | Jorge Pablo Batista Jorge Javier del Vecchio Pau Golanó Jordi Vega |
author_facet | Jorge Pablo Batista Jorge Javier del Vecchio Pau Golanó Jordi Vega |
author_sort | Jorge Pablo Batista |
collection | DOAJ |
description | Endoscopy for the posterior region of the ankle through two portals is becoming more widespread for the treatment of a large number of conditions which used to be treated with open surgery years ago. The tendon of the flexor hallucis longus (FHL) travels along an osteofibrous tunnel between the posterolateral and posteromedial tubercles of the talus. Chronic inflammation of this tendon may lead to painful stenosing tenosynovitis. The aim of this report is to describe two cases depicting an accessory tendon which is an anatomical variation of the flexor hallucis longus in patients with posterior friction syndrome due to posterior ankle impingement and associated with a posteromedial osteochondral lesion of the talus. The anatomical variation (FDAL) described was a finding during an endoscopy of the posterior region of the ankle, and we have spared it by sectioning the superior flexor retinaculum only. The accessory flexor digitorum longus is an anatomical variation and should be taken into account when performing an arthroscopy of the posterior region of the ankle. We recommend this treatment on this type of injury although we admit this does not make a definite conclusion. |
format | Article |
id | doaj-art-06d75294f63f40c0bee6156fadf0ec3c |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-06d75294f63f40c0bee6156fadf0ec3c2025-02-03T06:07:20ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/823107823107Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle EndoscopyJorge Pablo Batista0Jorge Javier del Vecchio1Pau Golanó2Jordi Vega3Centro Artroscópico Jorge Batista, 2446 Pueyrredón Avenue, 1st Floor, 1119 Buenos Aires, ArgentinaFavaloro Foundation, 461 Solis Street 1st floor, 1078 Buenos Aires, ArgentinaHuman and Embriology Unit, Department of Experimental Pathology and Therapeutics, University of Barcelona, SpainHospital Quirón Barcelona, Plaça d’Alfonso Comín, 08023 Barcelona, SpainEndoscopy for the posterior region of the ankle through two portals is becoming more widespread for the treatment of a large number of conditions which used to be treated with open surgery years ago. The tendon of the flexor hallucis longus (FHL) travels along an osteofibrous tunnel between the posterolateral and posteromedial tubercles of the talus. Chronic inflammation of this tendon may lead to painful stenosing tenosynovitis. The aim of this report is to describe two cases depicting an accessory tendon which is an anatomical variation of the flexor hallucis longus in patients with posterior friction syndrome due to posterior ankle impingement and associated with a posteromedial osteochondral lesion of the talus. The anatomical variation (FDAL) described was a finding during an endoscopy of the posterior region of the ankle, and we have spared it by sectioning the superior flexor retinaculum only. The accessory flexor digitorum longus is an anatomical variation and should be taken into account when performing an arthroscopy of the posterior region of the ankle. We recommend this treatment on this type of injury although we admit this does not make a definite conclusion.http://dx.doi.org/10.1155/2015/823107 |
spellingShingle | Jorge Pablo Batista Jorge Javier del Vecchio Pau Golanó Jordi Vega Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy Case Reports in Orthopedics |
title | Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy |
title_full | Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy |
title_fullStr | Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy |
title_full_unstemmed | Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy |
title_short | Flexor Digitorum Accessorius Longus: Importance of Posterior Ankle Endoscopy |
title_sort | flexor digitorum accessorius longus importance of posterior ankle endoscopy |
url | http://dx.doi.org/10.1155/2015/823107 |
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