Entrapment of Extensor Hallucis Longus Tendon Following Closed Fracture of the Lower-Third Tibia in an 11-Year-Old Child: A Case Report
Entrapment of Extensor Hallucis Longus Tendon Following Closed Fracture of the Lower-Third Tibia in an 11-Year-Old Child: A Case Report

Entrapment of Extensor Hallucis Longus Tendon Following Closed Fracture of the Lower-Third Tibia in an 11-Year-Old Child: A Case Report

JBJS Case Connect. 2025 Feb 6;15(1). doi: 10.2106/JBJS.CC.24.00444. eCollection 2025 Jan 1.

ABSTRACT

CASE: An 11-year-old girl presented 8 months after conservative treatment of lower third fracture tibia with inability to extend the great toe. There was no neurovascular deficit. Radiograph showed a liner lucent band in the callus. Magnetic resonance imaging confirmed an entrapped, thinned out, intact extensor hallucis longus (EHL) tendon passing through a tunnel in the lower tibia. Surgical decompression was undertaken and tendon freed from bone.

CONCLUSION: This is the first reported case of EHL entrapment following closed distal fracture of the tibia in the pediatric age group. We demonstrate full recovery of extensor at 1 year of review.

PMID:39913628 | DOI:10.2106/JBJS.CC.24.00444