Traumatic extensor tendons injuries of the foot in childhood: a case report

儿童足部伸肌腱创伤:病例报告

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Abstract

BACKGROUND AND AIM OF THE WORK: Extensor tendon injuries of the foot in children represent a rare foot injury. We report a case of a 9 year-old male who suffered of a traumatic wound laceration in the distal third of the right leg with a glass the day before in another country, getting a combined injury of tibialis anterior (TA), extensor hallucis longus (EHL) and extensor digitorum longus (EDL). METHODS: After an initial clinical and radiological evaluation, antibiotic prophylaxis was immediately started. Surgery was necessary for the repair of the lesions and after rehabilitation the patient recovered a good function with a complete return to a normal life. RESULTS: 5 years follow-up clinical examination revealed a complete and painless range of movement comparable to the other foot. The patient regained active dorsiflexion without functional limitations, deformity or contracture. CONCLUSIONS: Early exploration is important to allow full definition of the extent of injury and early surgical repair of tendons is recommended to avoid future disability.

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