Entrapment of Extensor Hallucis Longus Tendon Following Closed Fracture of the Lower-Third Tibia in an 11-Year-Old Child: A Case Report.

CASE: An 11-year-old girl presented 8 months after conservative treatment of lower third fracture tibia with inability to extend the great toe. There was no neurovascular deficit. Radiograph showed a liner lucent band in the callus. Magnetic resonance imaging confirmed an entrapped, thinned out, intact extensor hallucis longus (EHL) tendon passing through a tunnel in the lower tibia. Surgical decompression was undertaken and tendon freed from bone.

CONCLUSION

This is the first reported case of EHL entrapment following closed distal fracture of the tibia in the pediatric age group. We demonstrate full recovery of extensor at 1 year of review.