Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes
Objective: We present a series of patients with flexor hallucis longus tenosynovitis submitted to hindfoot endoscopy, describing clinical outcomes and reporting surgical findings and complications seen throughout the treatment. Methods: Thirty-one patients diagnosed with flexor hallucis longus teno...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2022-12-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1638 |
| _version_ | 1797974546635030528 |
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| author | Alberto Cuellar-Avaroma Ana Cristina King-Martínez |
| author_facet | Alberto Cuellar-Avaroma Ana Cristina King-Martínez |
| author_sort | Alberto Cuellar-Avaroma |
| collection | DOAJ |
| description |
Objective: We present a series of patients with flexor hallucis longus tenosynovitis submitted to hindfoot endoscopy, describing clinical outcomes and reporting surgical findings and complications seen throughout the treatment. Methods: Thirty-one patients diagnosed with flexor hallucis longus tenosynovitis submitted to posterior ankle endoscopy were followed. The mean follow-up was 24 months. Patients were classified according to American Orthopaedic Foot and Ankle Society (AOFAS) and Visual Analogue Scale (VAS) scores. Patient satisfaction was measured. Results: The mean age of patients was 35.13 (Å} 10.68) years. The VAS score improved from 7.16 preoperatively to 2.16 in postoperative follow-up. The AOFAS score improved from 76.39 (Å} 5.06) preoperatively to 97.10 (Å} 3.78) in postoperative follow-up. Patients were able to return to sports activities at the same level as before surgery by a mean of 4.6 (Å} 1.27) months. One of our patients developed a complication of wound erythema in a portal, which resolved without additional treatment. Conclusion: The diagnosis of flexor hallucis longus tenosynovitis is commonly associated with a large Stieda process or os trigonum impingement, limiting participation in sports activities. In our series, the endoscopic procedure showed good results in treating this condition, promoting a swift return to sports activities. Patients further presented a good postoperative recovery with few complications. Level of Evidence IV; Therapeutics Studies; Cases Series.
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| first_indexed | 2024-04-11T04:21:29Z |
| format | Article |
| id | doaj.art-412f0569ed9944c9ae72ed4bac194d64 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-04-11T04:21:29Z |
| publishDate | 2022-12-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-412f0569ed9944c9ae72ed4bac194d642022-12-30T13:59:31ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802022-12-0116310.30795/jfootankle.2022.v16.1638Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomesAlberto Cuellar-Avaroma0Ana Cristina King-Martínez1Hospital Medica Sur, Ciudad de Mexico, Mexico. Hospital General Dr. Manuel Gea Gonzalez, Ciudad de Mexico, Mexico. Objective: We present a series of patients with flexor hallucis longus tenosynovitis submitted to hindfoot endoscopy, describing clinical outcomes and reporting surgical findings and complications seen throughout the treatment. Methods: Thirty-one patients diagnosed with flexor hallucis longus tenosynovitis submitted to posterior ankle endoscopy were followed. The mean follow-up was 24 months. Patients were classified according to American Orthopaedic Foot and Ankle Society (AOFAS) and Visual Analogue Scale (VAS) scores. Patient satisfaction was measured. Results: The mean age of patients was 35.13 (Å} 10.68) years. The VAS score improved from 7.16 preoperatively to 2.16 in postoperative follow-up. The AOFAS score improved from 76.39 (Å} 5.06) preoperatively to 97.10 (Å} 3.78) in postoperative follow-up. Patients were able to return to sports activities at the same level as before surgery by a mean of 4.6 (Å} 1.27) months. One of our patients developed a complication of wound erythema in a portal, which resolved without additional treatment. Conclusion: The diagnosis of flexor hallucis longus tenosynovitis is commonly associated with a large Stieda process or os trigonum impingement, limiting participation in sports activities. In our series, the endoscopic procedure showed good results in treating this condition, promoting a swift return to sports activities. Patients further presented a good postoperative recovery with few complications. Level of Evidence IV; Therapeutics Studies; Cases Series. https://jfootankle.com/JournalFootAnkle/article/view/1638Arthroscopy/methodsTenosynovitisTreatment outcome |
| spellingShingle | Alberto Cuellar-Avaroma Ana Cristina King-Martínez Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes Journal of the Foot & Ankle Arthroscopy/methods Tenosynovitis Treatment outcome |
| title | Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes |
| title_full | Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes |
| title_fullStr | Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes |
| title_full_unstemmed | Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes |
| title_short | Hindfoot arthroscopy management of flexor hallucis longus tenosynovitis: 24-month outcomes |
| title_sort | hindfoot arthroscopy management of flexor hallucis longus tenosynovitis 24 month outcomes |
| topic | Arthroscopy/methods Tenosynovitis Treatment outcome |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1638 |
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