Closed subcutaneous rupture of the flexor hallucis longus tendon. Case report and review of the literature
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A case of complete closed rupture of the flexor hallucis longus (FHL) tendon at the level of the first metatarsal head in a young athlete is discussed. In the absence of systemic diseases as predisposing factors, this injury is a rare event. Available literature reports eight cases, only one of which showed the same lesion pattern as in the case we describe. As termino-terminal tendon suture was impossible, a suture of the FHL distal caput on the flexor hallucis brevis tendon was performed. This avoided hyperextension of the distal phalanx and achieved the overall plantar flexion of the big toe.
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