title: Adhesion of flexor hallucis longus at the site of a tibial-shaft fracture--a cause of a checkrein deformity.
abstract: Post-traumatic adhesion of toe flexors at the tibial fracture site resulted in checkrein deformity is rare and only a few case reports or case series were reported in the English literature. Major differential diagnosis includes deep compartment syndrome or adhesion of the muscle due to various causes. We are not able to conclude what is the best treatment option. Open exploration and adhesiolysis at the adhesion site together with tendon lengthening at the distal tibial level is a feasible surgical option with satisfactory result.
authors: Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong, China. Electronic address: simoncpyuen@gmail.com.
authors: C P
authors: CP
authors: Yuen
authors: Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong, China. Electronic address: luithderek@yahoo.co.uk.
authors: T H
authors: TH
authors: Lui
mesh_terms: D000328:Adult; D005360:Fibula / Q000293:injuries; D037801:Hammer Toe Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009119:Muscle Contraction; D058971:Tenotomy; D013978:Tibial Fractures / Q000150:complications* / Q000601:surgery; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: Checkrein deformity; Claw toe; Compartment syndrome; Flexor hallucis longus; Hallux flexus; Tibial fracture