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...
Ausführliche Beschreibung
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] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Übergeordnetes Werk: |
In: Foot & Ankle Surgery: Techniques, Reports & Cases - Elsevier, 2022, 2(2022), 2, Seite 100176- |
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Übergeordnetes Werk: |
volume:2 ; year:2022 ; number:2 ; pages:100176- |
Links: |
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DOI / URN: |
10.1016/j.fastrc.2022.100176 |
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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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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- |
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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- |
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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- |
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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- |
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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- |
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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 |
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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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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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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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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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