Foot and Ankle Surgery
Volume 16, Issue 3 , Pages 148-150, September 2010

Tenosynovial osteochondromatosis of the flexor hallucis longus tendon

  • Jeremy Oakley, MRCS Ed, MBBCh

      Affiliations

    • 6 Kingfisher Way, Oswestry, Shropshire, SY10 9LX, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 7908411651.
    • ,
  • Alun Yewlett, MRCS Eng, MBBS, BSc

      Affiliations

    • 141 Heol Isaf, Radyr, Cardiff, CF14 8DX, United Kingdom
    • ,
  • Nilesh Makwana, FRCS Orth

      Affiliations

    • Wrexham Maelor Hospital, Croesnewydd Road, Wrexham, LL13 7TD, United Kingdom

Received 18 June 2008; received in revised form 4 November 2008; accepted 17 December 2008. published online 27 January 2009.

Abstract 

We present a case of tenosynovial osteochondromatosis affecting the flexor hallucis longus tendon in a 29-year-old male with chronic ankle pain. Clinical examination was normal. Plain radiographs and MRI revealed multiple calcified lesions. These were removed surgically and histological analysis confirmed the diagnosis.

This condition is rare, particularly in the foot and ankle. This is the first reported case of such a lesion with an absence of any clinically palpable nodules and highlights the need for a high index of suspicion and the need for imaging.

Keywords: Flexor hallucis, Tenosynovial osteochondromatosis

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PII: S1268-7731(08)00128-8

doi:10.1016/j.fas.2008.12.004

Foot and Ankle Surgery
Volume 16, Issue 3 , Pages 148-150, September 2010

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