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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. Bystrov
Depаrtment of Traumatоlogy and Оrthopedics, City Hоspital № 1 named after. V.V. Uspensky; Department of surgery, аnesthesiоlogy and reanimation
Russian Federation

Sergey V. Bystrov – PhD in medicine, Doctor of the highest category, orthopedic traumatologist

Tver, 17006

Tver, 170100



V. A. Karasev
Depаrtment of Traumatоlogy and Оrthopedics, City Hоspital № 1 named after. V.V. Uspensky
Russian Federation

Karasev V. Alexandrovich - a doctor of the highest category, an orthopedic traumatologist

Tver, 17006



A. Y. Vlasov
Depаrtment of Traumаtology and Оrthopedics
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



References

1. Shapiro K.I. Medical and social aspects of hand diseases in St. Petersburg. Аmbulatory surgery. 2002;3:3-4

2. Zhigalo A.V., Silaev A.K., Pochtenko V.V., Bushmakin A.S., Morozov V.V., Chernov V.D. A new minimally invasive method for treating patients with stenosing ligamentitis. Questions of reconstructive and plastic surgery. 2017;2(61):53-60

3. Theodore G.H., Kolettis G.J., Micheli L.J. Tenosynovitis of the flexor hallucis longus in a long-distance runner // Med Sci Sports Exerc.1996; 28(3): 277–279. DOI : 10.1097/00005768-199603000-00001

4. Kolettis G.J. , Micheli Lyle J., Klein J.D., Boston, Massachusets. Release of the Flexor Hallucis Longus Tendon in Ballet Dancers // The Journal of Bone & Joint Surgery September. 1996;78(9):1386-90. DOI: 10.2106/00004623-199609000-00014.

5. Lewin P. Тhe foot and ankle. Their injuries, diseases, deformities and disabilities // Lea and Febiger, Philadelphia. 1940: 207–208

6. Purushothaman R, Karuppal R, Inassi J, Valsalan R. Hallux saltans due to flexor hallucis longus entrapment at a previously unreported site in an unskilled manual laborer: a case report // J. Foot Ankle Surg. 2012; 51(3): 334-336. DOI: 10.1053/j.jfas.2012.02.014.

7. Schindler M, Reinhard J, Grifka J, Leiss F, Schwarz T. Hallux saltansrare diagnosis, often overlooked // Orthopadie. 2022 Nov;51(11): 939-942. German. DOI: 10.1007/s00132-022-04311-z. Epub 2022 Oct 6. PMID: 36201008.

8. Oloff L.M, Schulhofer S.D. Flexor hallucis longus dysfunction // J Foot Ankle Surg. 1998 Mar-Apr; 37(2):101-9. DOI: 10.1016/s1067-2516(98)80088-4. PMID: 9571456.

9. Hamilton W.G., Geppert M. J. , Thompson F. M., New York,. Pain in the Posterior Aspect of the Ankle in Dancers. Differential Diagnosis and Operative Treatment // The Journal of Bone & Joint Surgery 1996;78(10):1491-1500. DOI: 10.2106/00004623-199610000-00006.

10. Michelson J, Dunn L. Tenosynovitis of the flexor hallucis longus: a clinical study of the spectrum of presentation and treatment // Foot Ankle Int. 2005 Apr;26 (4):291-303. doi: 10.1177/107110070502600405

11. Mohd F. M., Mohd Y.B., Abdul M. Ali , Azammuddin Al. S. Сase Report. Trigger Hallux: A Rare Case of Stenosing Tenosynovitis of Flexor Hallucis Longus in a Ballet Dancer // JKIMSU . October-December 2018;7(4):101-104

12. Lereim P. Trigger toe in classical-ballet dancers // Arch. Orth. Traum. Surg. 1985;104: 325–326. DOI: 10.1007 /BF00435951.

13. Mehmet Ali T., Ulunay K., Abdurrahman V., Muhammet B. A., Aliekber Y., Yılmaz E.. Endoscopic treatment of bilateral hallux saltans in an ordinary woman // Joint diseases & related surgery. 2019; 30(3):322-324. DOI: 10.5606/ehc.2019.70192

14. Gould N. Stenosing tenosynovitis of the flexor hallucis longus tendon at the great toe // Foot Ankle. 1981 Jul; 2(1):46-8. DOI: 10.1177/107110078100200108.

15. Sanhudo JA. Stenosing tenosynovitis of the flexor hallucis longus tendon at the sesamoid area // Foot Ankle Int. 2002 Sep; 23(9):801-3. DOI: 10.1177/107110070202300905.

16. Kitaoka, H.B., et al., Clinical rating systems for the anklehindfoot, midfoot, hallux, and lesser toes//Foot Ankle Int, 1994;5(7):349-53. DOI: 10.1177/107110079401500701.

17. Budiman-Mak E, Conrad K.J., Roach K.E.. The Foot Function Index: a measure of foot pain and disability // J Clin. Epidemiol. 1991; 44(6):561-70. DOI: 10.1016/0895-4356(91)90220-4.


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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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ISSN 2226-2016 (Print)