{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:01:42Z","timestamp":1785884502037,"version":"3.56.0"},"reference-count":19,"publisher":"Universa BV","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>Background and study aims: The proximal end of a torn Extensor hallucis longus (EHL) is usually so retracted that a proximal wound extension is always required to retrieve it; leading to more adhesions and stiffness. This study aims at assessment of a novel technique for proximal stump retrieval and repair of acute EHL injuries with no need for wound extension.\n\nMaterial and methods: Thirteen patients with acute EHL tendon injuries at zones III, IV were prospectively included in our series. Patients with underlining bony injuries, chronic tendon injuries and previous nearby skin lesions were excluded. Dual Incision Shuttle Catheter (DISC) technique was applied with subsequent evaluation by the American Orthopedic Foot and Ankle Society (AOFAS) hallux scale, Lipscomb and Kelly score, range of motion and muscle power.\n\nResults: Dorsiflexion at the metatarsophalangeal (MTP) joint significantly improved from a mean of 38.4\u00b16.2\u00ba at one month to 58\u00b19.6\u00ba at three months to 78.8\u00b13.1\u00ba at one year postoperatively (P=0.0004). Plantar flexion at MTP joint significantly inclined from 16\u00b13.8\u00ba at 3 months to 30.6\u00b17.8\u00ba at the last follow-up (P=0.006). The big toe dorsiflexion power surged from 6.1\u00b10.9N to 11.1\u00b12.5N to 19.7\u00b13.4N at 1 month, 3 months and one-year follow-up periods respectively (P=0.013). As per the AOFAS hallux scale, pain score was 40 of 40 points. The mean functional capability score was 43.7 out of 45 points. On Lipscomb and Kelly scale, all were graded \u201cgood\u201d except for one patient who was graded \u201cfair\u201d.\n\nConclusion: Dual Incision Shuttle Catheter (DISC) technique represents a reliable method for repair of acute EHL injury at zones III, IV.<\/jats:p>","DOI":"10.52628\/88.4.07","type":"journal-article","created":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T22:15:30Z","timestamp":1677968130000},"page":"835-841","source":"Crossref","is-referenced-by-count":2,"title":["Results of a shuttle catheter technique for surgical repair of acute extensor hallucis longus tears"],"prefix":"10.52628","volume":"88","author":[{"given":"Osama Samir","family":"Gaarour","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr","family":"Elshahhat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2023,2]]},"reference":[{"key":"ref0","unstructured":"Anzel SH, Covey KW, Weiner AD, Lipscomb PR. Disruption of muscles and tendons; an analysis of 1, 014 cases. Journal Surgery. 1959;45(3):406-14."},{"key":"ref1","unstructured":"Sim FH, Deweerd JH, Jr. Rupture of the extensor hallucis longus tendon while skiiing. Journal Minn Med. 1977;60(11):789-90."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Poggi JJ, Hall RL. Acute rupture of the extensor hallucis longus tendon. Foot & ankle international. 1995;16(1):41-3.","DOI":"10.1177\/107110079501600109"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Tuncer S, Aksu N, Isiklar U. Delayed rupture of the extensor hallucis longus and extensor digitorum communis tendons after breaching the anterior capsule with a radiofrequency probe during ankle arthroscopy: a case report. 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Journal of the American Podiatric and Medical Association. 1974;64(12):955-66.","DOI":"10.7547\/87507315-64-12-955"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Joseph RM, Barhorst J. Surgical reconstruction and mobilization therapy for a retracted extensor hallucis longus laceration and tendon defect repaired by split extensor hallucis longus tendon lengthening and dermal scaffold augmentation. Journal Foot Ankle Surg. 2012;51(4):509-16.","DOI":"10.1053\/j.jfas.2012.04.018"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Taha AA, Kadry HM. Flexor pollicis longus tendon retrieval using silicone rods; is it worth it? European Journal of Plastic Surgery. 2020;43(6):785-8.","DOI":"10.1007\/s00238-020-01691-3"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Bronner S, Ojofeitimi S, Rose D. Jjoo, therapy sp. 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