{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T12:05:49Z","timestamp":1722945949531},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jocr"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Introduction: We present a case of spontaneous rupture of the extensor hallucis longus (EHL) tendon with significantly retracted tendon edges in a patient who had received multiple steroid injections to an arthritic talonavicular joint repaired using novel turndown flap technique.  Case Report: This case details a patient who came in with a history of spontaneous EHL tendon rupture on a background of chronic pain in the midfoot due to osteoarthritis with osteophytes at the talonavicular joint for which they had received multiple steroid injections in the past. A novel repair technique was employed which involved split lengthening the proximal segment of the ruptured EHL tendon and making a turndown flap of the same by rotating the lengthened segment 180\u00b0, bridging the tendon gap. The lengthened tendon is then sutured to the distal segment of the EHL to achieve a tension-free repair. This bypasses any use of bridging allografts and autografts\/tendon transfer, removing complications commonly associated with them.  Conclusion: This turndown flap technique is easy to perform, reduces surgical time, avoids complications associated with tendon grafting, and results in good functional outcomes for the patient.  Keywords: Extensor hallucis longus tendon rupture, turndown flap, steroid injection.<\/jats:p>","DOI":"10.13107\/jocr.2023.v13.i12.4082","type":"journal-article","created":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T15:18:17Z","timestamp":1704122297000},"page":"67-70","source":"Crossref","is-referenced-by-count":0,"title":["Closed, Atraumatic, and Spontaneous Extensor Hallucis Longus Tendon Rupture Following Multiple Steroid Injections and Presence of Talonavicular Osteophyte Repaired using a Turndown Flap: A Case Report"],"prefix":"10.13107","volume":"13","author":[{"name":"Department of Trauma and Orthopaedics, Wythenshawe Hospital (Manchester University NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT, United Kingdom.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajkumar","family":"Sundarapandian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Trauma and Orthopaedics, Wythenshawe Hospital (Manchester University NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT, United Kingdom.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Pillai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Trauma and Orthopaedics, Wythenshawe Hospital (Manchester University NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT, United Kingdom.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2023]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T15:18:21Z","timestamp":1704122301000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2023\/12\/10\/closed-atraumatic-and-spontaneous-extensor-hallucis-longus-tendon-rupture-following-multiple-steroid-injections-and-presence-of-talonavicular-osteophyte-repaired-using-a-turndown-flap-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023]]},"published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2023.v13.i12.4082","relation":{},"ISSN":["2321-3817"],"issn-type":[{"type":"electronic","value":"2321-3817"}],"subject":[],"published":{"date-parts":[[2023]]}}}