Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
Arthrosc Tech. 2017 Mar 20;6(2):e325-e329. doi: 10.1016/j.eats.2016.10.006. eCollection 2017 Apr.
Adhesion of the flexor hallucis longus (FHL) muscle to the distal tibia can occur after distal tibial fracture, distal fibular fracture, low tibial osteotomy, soft-tissue injury at the posterior ankle, subclinical compartment syndrome of the distal deep posterior compartment of the leg, or Volkmann contracture after deep posterior compartment syndrome of the leg. The purpose of this Technical Note is to report the endoscopic approach of FHL muscle adhesiolysis. It is indicated in patients with symptomatic adhesion of the FHL muscle and contraindicated if there is entrapment of the FHL muscle or tendon in the fracture callus or if there is extensive fibrosis and contracture of the FHL muscle as a result of Volkmann contracture after deep posterior compartment syndrome of the leg.
拇长屈肌（FHL）与胫骨远端粘连可发生于胫骨远端骨折、腓骨远端骨折、低位胫骨截骨术、后踝软组织损伤、小腿远侧深后间隔亚临床间隔综合征或小腿深后间隔综合征后的Volkmann挛缩之后。本技术说明的目的是报告FHL肌肉粘连松解的内镜手术方法。适用于有症状的FHL肌肉粘连患者，而如果FHL肌肉或肌腱被骨折痂包裹，或者因小腿深后间隔综合征后的Volkmann挛缩导致FHL肌肉广泛纤维化和挛缩，则为禁忌证。
