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Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients

Longitudinal flexor hallucis longus (FHL) tendon tears are sometimes complicated by posterior ankle impingement syndrome (PAIS), especially in ballet dancers. In recent years, PAIS has been treated endoscopically, but it is difficult to suture FHL tendon tears endoscopically. In this report, we desc...

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Autores principales: Nishimura, Akinobu, Nakazora, Shigeto, Ito, Naoya, Fukuda, Aki, Kato, Ko, Sudo, Akihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5794487/
https://www.ncbi.nlm.nih.gov/pubmed/29399465
http://dx.doi.org/10.1016/j.eats.2017.06.059
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author Nishimura, Akinobu
Nakazora, Shigeto
Ito, Naoya
Fukuda, Aki
Kato, Ko
Sudo, Akihiro
author_facet Nishimura, Akinobu
Nakazora, Shigeto
Ito, Naoya
Fukuda, Aki
Kato, Ko
Sudo, Akihiro
author_sort Nishimura, Akinobu
collection PubMed
description Longitudinal flexor hallucis longus (FHL) tendon tears are sometimes complicated by posterior ankle impingement syndrome (PAIS), especially in ballet dancers. In recent years, PAIS has been treated endoscopically, but it is difficult to suture FHL tendon tears endoscopically. In this report, we describe how to suture the FHL tendon endoscopically with the Meniscal Viper Repair system (Arthrex, Naples, FL). Without our endoscopic technique, when a patient is found to have a longitudinal tear of the FHL under endoscopy, we must choose to either neglect the tear or convert to an open repair. Open tendon suture techniques have reportedly had relatively good results but require a longer skin incision than endoscopic surgery for PAIS. Compared with the open repair, the advantages of our technique include earlier recovery, less pain, a lower rate of soft tissue complications, and improved healing through better preservation of the blood supply. This technique is an attractive and useful option because it is an easy and safe method for longitudinal FHL tendon tears.
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spelling pubmed-57944872018-02-02 Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients Nishimura, Akinobu Nakazora, Shigeto Ito, Naoya Fukuda, Aki Kato, Ko Sudo, Akihiro Arthrosc Tech Technical Note Longitudinal flexor hallucis longus (FHL) tendon tears are sometimes complicated by posterior ankle impingement syndrome (PAIS), especially in ballet dancers. In recent years, PAIS has been treated endoscopically, but it is difficult to suture FHL tendon tears endoscopically. In this report, we describe how to suture the FHL tendon endoscopically with the Meniscal Viper Repair system (Arthrex, Naples, FL). Without our endoscopic technique, when a patient is found to have a longitudinal tear of the FHL under endoscopy, we must choose to either neglect the tear or convert to an open repair. Open tendon suture techniques have reportedly had relatively good results but require a longer skin incision than endoscopic surgery for PAIS. Compared with the open repair, the advantages of our technique include earlier recovery, less pain, a lower rate of soft tissue complications, and improved healing through better preservation of the blood supply. This technique is an attractive and useful option because it is an easy and safe method for longitudinal FHL tendon tears. Elsevier 2017-10-09 /pmc/articles/PMC5794487/ /pubmed/29399465 http://dx.doi.org/10.1016/j.eats.2017.06.059 Text en © 2017 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Nishimura, Akinobu
Nakazora, Shigeto
Ito, Naoya
Fukuda, Aki
Kato, Ko
Sudo, Akihiro
Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients
title Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients
title_full Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients
title_fullStr Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients
title_full_unstemmed Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients
title_short Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients
title_sort endoscopic all-inside repair of the flexor hallucis longus tendon in posterior ankle impingement patients
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5794487/
https://www.ncbi.nlm.nih.gov/pubmed/29399465
http://dx.doi.org/10.1016/j.eats.2017.06.059
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