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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Main Authors: Jorge Pablo Batista, Jorge Javier del Vecchio, Pau Golanó, Jordi Vega
Format: Article
Language:English
Published: Wiley 2015-01-01
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.
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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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AT paugolano flexordigitorumaccessoriuslongusimportanceofposteriorankleendoscopy
AT jordivega flexordigitorumaccessoriuslongusimportanceofposteriorankleendoscopy