Tendon Entrapment

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Torsten Franz - One of the best experts on this subject based on the ideXlab platform.

Jeffrey E Martus - One of the best experts on this subject based on the ideXlab platform.

Michael D Mckee - One of the best experts on this subject based on the ideXlab platform.

  • irreducible tibial pilon fracture secondary to posterior tibial Tendon Entrapment a case report
    Journal of Bone and Joint Surgery American Volume, 2012
    Co-Authors: Patrick Henry, Michael D Mckee
    Abstract:

    The term pilon fracture was coined in 1911 after a description of this type of injury was published by the French radiologist Destot1. The complication rate from this fracture is high, ranging from 30% to 70%, and includes infection, wound breakdown, chronic ankle pain, and poor patient satisfaction2-6. At our institution, a recent patient with a pilon fracture had the posterior tibial Tendon (PTT) trapped within the fracture site, lateral to the central axis of the tibial shaft, preventing reduction and leading to persistent deformity and soft-tissue complications. To the best of our knowledge, this is the first case report in the literature of a PTT that prevented reduction in this manner. The patient was informed that data concerning the case would be submitted for publication, and he provided consent. A twenty-nine-year-old man with a “closed but irreducible pilon fracture” was transferred to our hospital from a community center. At the time of presentation, the injury was sixteen days old. An external fixator was in place and intact. There was a 1 × 1-cm region of stage-2 skin breakdown caused by pressure necrosis from a splint near the medial malleolus. Imaging demonstrated a tibial pilon fracture as well as medial and lateral malleoli fractures and a lateral tibiotalar dislocation (Figs. 1-A and 1-B). The patient was brought to the operating room for open reduction and internal fixation. Fig. 1-A Anteroposterior radiograph sixteen …

Kazuki Sato - One of the best experts on this subject based on the ideXlab platform.

  • Tendon Entrapment in distal radius fractures.
    The Journal of hand surgery European volume, 2009
    Co-Authors: Masato Okazaki, Kenichi Tazaki, Toshiyasu Nakamura, Yoshiaki Toyama, Kazuki Sato
    Abstract:

    We retrospectively defined the rate and clinical features of Tendon Entrapment in 693 consecutive patients with 701 distal radius fractures treated in a single hospital. Eight extensor Tendons and one flexor Tendon were entrapped. All fractures with extensor Tendon Entrapment were palmarly displaced (Smith type) or epiphyseal. Flexor Tendon Entrapment was seen in dorsally angulated (Colles type) epiphyseal fracture. The rate of Tendon Entrapment in acute distal radius fractures was 1.3%. Extensor Tendon Entrapment in palmarly displaced fractures is more common.

Kwangbok Lee - One of the best experts on this subject based on the ideXlab platform.

  • irreducible lisfranc injury by tibialis anterior Tendon Entrapment a case report
    Medicine, 2021
    Co-Authors: Doyeon Kim, Jongkil Kim, Min Woo Kim, Kwangbok Lee
    Abstract:

    Rationale Lisfranc injuries are a dislocation of the metatarsal bones from the tarsal bone. Although closed reduction is possible in most cases of Lisfranc injury when attempted in the early stage, there are some rare cases for which open reduction is required. Herein we report a case of irreducible Lisfranc injury in a 34-year-old man who presented to our institution with painful swelling. Patient concerns We report a 34-year-old man presented to our institution with painful swelling after a fall from 1.0 m height. Diagnoses We diagnosed it as irreducible Lisfranc injury by tibialis anterior Tendon Entrapment through plain radiologic study and surgical findings. Interventions Plain X-ray, C-arm fluoroscopy and open surgery were performed. Outcomes We did a closed reduction under a C-arm fluoroscopic guide, but it was not successful. Thus, we had to do an open reduction of a Lisfranc dislocation. Upon exposure, we observed the Entrapment of the tibialis anterior Tendon between the medial and intermediate cuneiform bones. Lessons Our report is valuable in that it can contribute to the diagnosis and suggest a clue to the treatment of such a rare pathology. The knowledge in the rare case of Entrapment of the tibialis Tendon and the understanding of management will be useful when a irreducible Lisfranc dislocation is unsuccessful after an attempt at closed reduction.