Foot and Ankle Surgery
Volume 13, Issue 2 , Pages 76-79, 2007

Extensor hallucis longus tendon contracture following triplane fracture of the tibia

  • G. Sharma

      Affiliations

    • Corresponding Author InformationCorresponding author at: Flat 6, The Grange, Ivy Road, Macclesfield, Cheshire SK11 8NA, UK. Tel.: +44 7903609844.
    • ,
  • N.K. Makwana

      Affiliations

    • Present address: Wrexham Maelor Hospital, Wrexham, Clwyd LL13 7TD, UK. Tel.: +44 1978725191.
    • ,
  • A.R. Guha

      Affiliations

    • Present address: 60 Hasting Crescent, Cardiff CS3 5ET, UK. Tel.: +44 7779829446.

Department of Trauma and Orthopaedics, Wrexham Maelor Hospital, Wrexham LL13 7TD, UK

Received 20 February 2006; accepted 9 October 2006.

Abstract 

Tendon contractures are a well-known sequele to compartment syndrome. It is most often seen in the upper limb [Santi MD, Botte MJ. Volkmann's ischaemic contracture of foot and ankle: evaluation and treatment of established deformity. Foot Ankle Int 1995;16(6):368–77] but have been infrequently described in the foot [Botte MJ, Santi MD, Prestianni CA, Abrams RA. Ischaemic contracture of foot and ankle: principle of management and prevention. Orthopedics 1996;19(3):235–44]. This case report describes an unusual case of isolated extensor hallucis longus (EHL) tendon contracture following a triplane fracture of distal tibial epiphysis with no evidence of compartment syndrome of either the leg or the foot. In addition, it demonstrates a successful outcome following ‘Z’ lengthening in the management of this condition.

Keywords: Extensor hallucis longus tendon, Contracture, Triplane fracture

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PII: S1268-7731(06)00090-7

doi:10.1016/j.fas.2006.10.006

Foot and Ankle Surgery
Volume 13, Issue 2 , Pages 76-79, 2007

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