Endoscopic adhesiolysis of the flexor hallucis longus muscle.
Abstract: Flexor hallucis longus muscle can adhere to the distal tibia after tibial fracture. The patient may complain of deep posteromedial ankle pain, checkrein deformity of the hallux, hallux flexus or development of hallux rigidus. Surgical treatment of release of the FHL muscle or lengthening of the FHL tendon has been proposed. We described an endoscopic approach of release of the FHL muscle from the distal tibia with the advantage of minimal soft tissue dissection. Methods: Therapeutic Level V: Expert Opinion/Technique.
© 2014 The Author(s).
Publication Date: 2014-08-24 PubMed ID: 25156099DOI: 10.1177/1938640014546859Google Scholar: Lookup
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- Journal Article
Summary
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The research revolves around the surgical treatment for a condition affecting the flexor hallucis longus (FHL) muscle in the foot. In certain cases, following a fracture of the tibia (a leg bone), this muscle can stick to the tibia, which can result in foot and ankle pain, and various forms of deformity. The researchers propose a surgical technique that uses an endoscope (a tube-like instrument with a camera) to release the FHL muscle from the tibia, a method that minimizes the need to cut and manipulate nearby soft tissues.
Subject of the Research
- The research delves into the issue of when the flexor hallucis longus (FHL) muscle, a muscle in the foot, adheres or sticks to the distal tibia after the bone has suffered a fracture.
- This adhesion can result in different symptoms including deep pain at the back of the ankle, checkrein deformity (an abnormal bending of the big toe), hallux flexus (a bend or flex in the big toe), or the development of hallux rigidus (a form of degenerative arthritis).
Proposed Solution
- In response to these issues, the researchers have proposed a surgical treatment method aimed at releasing or lengthening the FHL muscle or tendon.
- The innovative aspect of their approach is the use of endoscopy – a technique that employs a special instrument (endoscope) fitted with a camera to visualize and operate on internal parts of the body.
- The key benefit of this endoscopic method is minimized disturbance to the soft tissues surrounding the area of operation. This could imply less invasive procedures, possibly leading to faster recovery and less post-surgical complications.
Methodology Classification
- The research methodology is classified as Therapeutic Level V, which refers to expert opinion or a technique based on the collective clinical experience of the researchers. This typically indicates that while the approach may lack comprehensive empirical evidence, it is grounded in expert knowledge and technical skills.
Cite This Article
APA
Lui TH.
(2014).
Endoscopic adhesiolysis of the flexor hallucis longus muscle.
Foot Ankle Spec, 7(6), 492-494.
https://doi.org/10.1177/1938640014546859 Publication
Researcher Affiliations
MeSH Terms
- Arthroscopy / methods
- Endoscopy / methods
- Humans
- Muscle, Skeletal / pathology
- Muscle, Skeletal / surgery
- Necrosis
- Orthopedic Procedures / methods
Citations
This article has been cited 11 times.- Heyer JH, Dai AZ, Rose DJ. Excision of Os Trigonum in Dancers via an Open Posteromedial Approach. JBJS Essent Surg Tech 2018 Dec 26;8(4):e31.
- Lui TH. Arthroscopic and Endoscopic Management of Posttraumatic Hindfoot Stiffness. Indian J Orthop 2018 May-Jun;52(3):304-308.
- Lui TH. Endoscopic Fasciotomy of the Superficial and Deep Posterior Compartments of the Leg. Arthrosc Tech 2017 Jun;6(3):e711-e715.
- Lui TH. Endoscopic Adhesiolysis of Flexor Hallucis Longus Muscle. Arthrosc Tech 2017 Apr;6(2):e325-e329.
- Lui TH. Endoscopic Calcaneoplasty and Achilles Tendoscopy With the Patient in Supine Position. Arthrosc Tech 2016 Dec;5(6):e1475-e1479.
- Lui TH. Arthroscopic Capsular Release of the Ankle Joint. Arthrosc Tech 2016 Dec;5(6):e1281-e1286.
- Lui TH, Slocum AMY, Li CCH, Poon JCW. Endoscopic Layered Adhesiolysis of Achilles Tendon-Flexor Hallucis Longus Complex via Medial Portals After Gastrocnemius Fascial Turn-Down Flap and Flexor Hallucis Longus Transfer for Chronic Achilles Tear. Arthrosc Tech 2025 Nov;14(11):103884.
- Poon JCW, Cheung KK, Lui TH. Endoscopic Layered Adhesiolysis of Gastrocsoleus Muscles. Arthrosc Tech 2025 Jun;14(6):103449.
- Lui TH, Chiba ZSY. Endoscopy of the Peroneal Compartment for Complete Endoscopic Adhesiolysis of Fibrous Adhesions of the Peroneal Compartment of the Leg. Arthrosc Tech 2025 May;14(5):103336.
- Kawada T, Shinohara Y, Kurihara T, Satake H, Itokawa K, Fukuyoshi M, Hayashi N, Sugimoto K. Anatomical evaluations of the adipose tissue surrounding the flexor hallucis longus tendon. Sci Rep 2024 Jul 23;14(1):16903.
- Tsang CY, Lui TH. Endoscopic Release of the Flexor Hallucis Longus Tendon at Posterior Ankle for Management of Checkrein Deformity of the Great Toe, Second Toe, and Third Toe. Arthrosc Tech 2024 May;13(5):102936.
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