Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis

Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and r...
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Autor*in:	Tânia Alegre Veigas [verfasserIn] Eduardo Pinto [verfasserIn] Manuel Godinho [verfasserIn] Pedro Balau [verfasserIn] Raquel Cunha [verfasserIn] Alexandre Castro [verfasserIn] António Miranda [verfasserIn] João Teixeira [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation

Übergeordnetes Werk:	In: Foot & Ankle Surgery: Techniques, Reports & Cases - Elsevier, 2022, 2(2022), 2, Seite 100176-
Übergeordnetes Werk:	volume:2 ; year:2022 ; number:2 ; pages:100176-

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.fastrc.2022.100176

Katalog-ID:	DOAJ042292166

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520			\|a Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option.
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spelling	10.1016/j.fastrc.2022.100176 doi (DE-627)DOAJ042292166 (DE-599)DOAJb4e6fa873e444767baa99c67ac8bf5eb DE-627 ger DE-627 rakwb eng RD1-811 Tânia Alegre Veigas verfasserin aut Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option. Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation Surgery Eduardo Pinto verfasserin aut Manuel Godinho verfasserin aut Pedro Balau verfasserin aut Raquel Cunha verfasserin aut Alexandre Castro verfasserin aut António Miranda verfasserin aut João Teixeira verfasserin aut In Foot & Ankle Surgery: Techniques, Reports & Cases Elsevier, 2022 2(2022), 2, Seite 100176- (DE-627)1789917115 26673967 nnns volume:2 year:2022 number:2 pages:100176- https://doi.org/10.1016/j.fastrc.2022.100176 kostenfrei https://doaj.org/article/b4e6fa873e444767baa99c67ac8bf5eb kostenfrei http://www.sciencedirect.com/science/article/pii/S2667396722000349 kostenfrei https://doaj.org/toc/2667-3967 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 2 100176-
allfields_unstemmed	10.1016/j.fastrc.2022.100176 doi (DE-627)DOAJ042292166 (DE-599)DOAJb4e6fa873e444767baa99c67ac8bf5eb DE-627 ger DE-627 rakwb eng RD1-811 Tânia Alegre Veigas verfasserin aut Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option. Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation Surgery Eduardo Pinto verfasserin aut Manuel Godinho verfasserin aut Pedro Balau verfasserin aut Raquel Cunha verfasserin aut Alexandre Castro verfasserin aut António Miranda verfasserin aut João Teixeira verfasserin aut In Foot & Ankle Surgery: Techniques, Reports & Cases Elsevier, 2022 2(2022), 2, Seite 100176- (DE-627)1789917115 26673967 nnns volume:2 year:2022 number:2 pages:100176- https://doi.org/10.1016/j.fastrc.2022.100176 kostenfrei https://doaj.org/article/b4e6fa873e444767baa99c67ac8bf5eb kostenfrei http://www.sciencedirect.com/science/article/pii/S2667396722000349 kostenfrei https://doaj.org/toc/2667-3967 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 2 100176-
allfieldsGer	10.1016/j.fastrc.2022.100176 doi (DE-627)DOAJ042292166 (DE-599)DOAJb4e6fa873e444767baa99c67ac8bf5eb DE-627 ger DE-627 rakwb eng RD1-811 Tânia Alegre Veigas verfasserin aut Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option. Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation Surgery Eduardo Pinto verfasserin aut Manuel Godinho verfasserin aut Pedro Balau verfasserin aut Raquel Cunha verfasserin aut Alexandre Castro verfasserin aut António Miranda verfasserin aut João Teixeira verfasserin aut In Foot & Ankle Surgery: Techniques, Reports & Cases Elsevier, 2022 2(2022), 2, Seite 100176- (DE-627)1789917115 26673967 nnns volume:2 year:2022 number:2 pages:100176- https://doi.org/10.1016/j.fastrc.2022.100176 kostenfrei https://doaj.org/article/b4e6fa873e444767baa99c67ac8bf5eb kostenfrei http://www.sciencedirect.com/science/article/pii/S2667396722000349 kostenfrei https://doaj.org/toc/2667-3967 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 2 100176-
allfieldsSound	10.1016/j.fastrc.2022.100176 doi (DE-627)DOAJ042292166 (DE-599)DOAJb4e6fa873e444767baa99c67ac8bf5eb DE-627 ger DE-627 rakwb eng RD1-811 Tânia Alegre Veigas verfasserin aut Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option. Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation Surgery Eduardo Pinto verfasserin aut Manuel Godinho verfasserin aut Pedro Balau verfasserin aut Raquel Cunha verfasserin aut Alexandre Castro verfasserin aut António Miranda verfasserin aut João Teixeira verfasserin aut In Foot & Ankle Surgery: Techniques, Reports & Cases Elsevier, 2022 2(2022), 2, Seite 100176- (DE-627)1789917115 26673967 nnns volume:2 year:2022 number:2 pages:100176- https://doi.org/10.1016/j.fastrc.2022.100176 kostenfrei https://doaj.org/article/b4e6fa873e444767baa99c67ac8bf5eb kostenfrei http://www.sciencedirect.com/science/article/pii/S2667396722000349 kostenfrei https://doaj.org/toc/2667-3967 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 2 100176-
language	English
source	In Foot & Ankle Surgery: Techniques, Reports & Cases 2(2022), 2, Seite 100176- volume:2 year:2022 number:2 pages:100176-
sourceStr	In Foot & Ankle Surgery: Techniques, Reports & Cases 2(2022), 2, Seite 100176- volume:2 year:2022 number:2 pages:100176-
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation Surgery
isfreeaccess_bool	true
container_title	Foot & Ankle Surgery: Techniques, Reports & Cases
authorswithroles_txt_mv	Tânia Alegre Veigas @@aut@@ Eduardo Pinto @@aut@@ Manuel Godinho @@aut@@ Pedro Balau @@aut@@ Raquel Cunha @@aut@@ Alexandre Castro @@aut@@ António Miranda @@aut@@ João Teixeira @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	1789917115
id	DOAJ042292166
language_de	englisch
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author	Tânia Alegre Veigas
spellingShingle	Tânia Alegre Veigas misc RD1-811 misc Ankle trauma misc Posterior tibial tendon dislocation misc Flexor retinaculum misc Flexor digitorum longus tendon dislocation misc Surgery Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis
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topic_title	RD1-811 Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis Ankle trauma Posterior tibial tendon dislocation Flexor retinaculum Flexor digitorum longus tendon dislocation
topic	misc RD1-811 misc Ankle trauma misc Posterior tibial tendon dislocation misc Flexor retinaculum misc Flexor digitorum longus tendon dislocation misc Surgery
topic_unstemmed	misc RD1-811 misc Ankle trauma misc Posterior tibial tendon dislocation misc Flexor retinaculum misc Flexor digitorum longus tendon dislocation misc Surgery
topic_browse	misc RD1-811 misc Ankle trauma misc Posterior tibial tendon dislocation misc Flexor retinaculum misc Flexor digitorum longus tendon dislocation misc Surgery
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title	Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis
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title_full	Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis
author_sort	Tânia Alegre Veigas
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author_browse	Tânia Alegre Veigas Eduardo Pinto Manuel Godinho Pedro Balau Raquel Cunha Alexandre Castro António Miranda João Teixeira
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title_sort	avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – don't let a fracture make you miss the diagnosis
callnumber	RD1-811
title_auth	Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis
abstract	Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option.
abstractGer	Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option.
abstract_unstemmed	Introduction: Traumatic dislocation of the posterior tibial tendon (PTT) is portrayed as a rare and challenging to diagnose lesion, even more so in association with flexor digitorum longus tendon (FDL) dislocation. This article aims to bring awareness to this condition and present a reasonable and reproducible surgical solution.Case report: A 19-year-old male was admitted after a car accident. An isolated posterior malleolus fracture was identified among other lesions, and surgery was proposed. A cord-like structure over the medial malleolus was identified during surgery, and a PTT and FDL dislocation was diagnosed. The flexor retinaculum was avulsed and was re-inserted with suture anchors, and the tendons remained stable without any additional gesture. At follow-up, good results were obtained.Discussion: PTT dislocations probably occur more frequently than thought, but the association with flexor digitorum longus tendon dislocation seems even rarer. This entity should be known by the common trauma professional since it can be mistaken for an ankle sprain or not noticed in a polytrauma patient. This case brings awareness to vital signs to not miss the diagnosis and a reliable, easy, and reproducible surgical option.
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title_short	Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis
url	https://doi.org/10.1016/j.fastrc.2022.100176 https://doaj.org/article/b4e6fa873e444767baa99c67ac8bf5eb http://www.sciencedirect.com/science/article/pii/S2667396722000349 https://doaj.org/toc/2667-3967
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Avulsion of the flexor retinaculum associated with dislocation of the posterior tibialis and flexor digitorum longus tendons – Don't let a fracture make you miss the diagnosis

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