TREATMENT ОF STENОSING TЕNОSYNOVITIS OF THE FLEXОR HALLUCES LОNGUS OF THE FIRST TOE
https://doi.org/10.17238/2226-2016-2024-2-63-66
Abstract
Introduction. Stenosing tenosynovitis of the first toe is a very rare disease, accompanied by pain in the ankle joint and blocking the movement of the first toe. More common among dancers and professional athletes. Foreign literature contains descriptive cases of treating patients with various methods without an in-depth study of the epidemiology of the disease.
Purpose of the study. Description of surgical treatment of a rare case of bilateral stenosing tenosynovitis of the first toe in a young patient.
Clinical case. We present a case of successful surgical treatment of bilateral stenosing tenosynovitis of the first toe in a young patient whose work was not associated with occupational risk factors or heavy physical work. Sequential dissection of the tendon sheath and its supporting adhesions was performed on both feet. As a result of complex surgical and subsequent rehabilitation treatment, crunching and clicking disappeared, and the movements of the first fingers were restored in full.
Conclusion. The development of degenerative and inflammatory changes in the sheaths of the flexor pollicis longus tendon, leading to blocking of movements, is not always associated with occupational overload. Surgical treatment allows rapid clinical improvement.
About the Authors
S. V. BystrovRussian Federation
Sergey V. Bystrov – PhD in medicine, Doctor of the highest category, orthopedic traumatologist
Tver, 17006
Tver, 170100
V. A. Karasev
Russian Federation
Karasev V. Alexandrovich - a doctor of the highest category, an orthopedic traumatologist
Tver, 17006
A. Y. Vlasov
Russian Federation
Alexey Y. Vlasov – PhD in medicine, doctor of the highest category, orthopedic traumatologist, Associate professor at the Department of Traumatology and Orthopedics
Tver, 170100
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Review
For citations:
Bystrov S.V., Karasev V.A., Vlasov A.Y. TREATMENT ОF STENОSING TЕNОSYNOVITIS OF THE FLEXОR HALLUCES LОNGUS OF THE FIRST TOE. Department of Traumatology and Orthopaedics. 2024;(2):63-66. (In Russ.) https://doi.org/10.17238/2226-2016-2024-2-63-66
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