胫腓骨远端骨折后拇长伸肌挛缩：一例报告
Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report.
作者信息
Wu Yuan-Lu, Huang Peng-Ju, Cheng Yuh-Min, Chen Shu-Jung
机构信息
Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung Medical University, Taiwan.
出版信息
Trauma Case Rep. 2020 Feb 24;26:100288. doi: 10.1016/j.tcr.2020.100288. eCollection 2020 Apr.
UNLABELLED
Post-traumatic isolated big toe extensor contracture after tibiofibular fracture is uncommon and only a few cases have been reported. Major causes of it include anterior compartment syndrome, direct injury, entrapment or adhesion of the muscle or tendon.We present an uncommon case of isolated extensor hallucis longus (EHL) tendon contracture following a distal tibiofibular shaft fracture without compartment syndrome of the affected leg or foot. The clinical outcome is good after -lengthening of the EHL tendon and abductor hallux tendon in 1-year follow-up.
LEVEL OF CLINICAL EVIDENCE
未标注
胫腓骨骨折后创伤性孤立性拇趾伸肌挛缩并不常见，仅有少数病例报道。其主要原因包括骨筋膜室综合征、直接损伤、肌肉或肌腱卡压或粘连。我们报告1例罕见的胫腓骨远端骨干骨折后孤立性拇长伸肌（EHL）肌腱挛缩病例，患侧小腿或足部无骨筋膜室综合征。EHL肌腱和拇展肌肌腱延长术后1年随访，临床效果良好。
临床证据等级
5级。
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