Flexor Hallucis Longus Tendon: An Unexpected Location For A Foreign Body

摘要

Foreign bodies may cause chronic mild pain during their presence. Since then, it may not be the only symptom, but supplementary signs may be contributed with it such as ambulatuary pain. Here, a case comprised of a foreign body with unknown ethiology is presented. The foreign body was found within the tendon of the great toe. To achieve the proper diagnosis, a flouroscope was used intraoperatively. Patient And Method A 33 year-old female patient applied to our out-patient clinic with chronic pain (approximately 2 years) on her left foot during ambulation. While examination, the only detected sign was suffering at the dorsiflexion position of the great toe. We could not observe either any traumatic or surgical scar wound on the left foot. Besides, the patient was unable to determine the possible reason for the pain such as an antecedent trauma. Next step included the plain radiography of the lower extremity showing a foreign body on the plantar side of the left foot. This examination revealed that the foreign body had an origin of a metal. According to the appropriate consultations and vaccination history, there was no need for a tetanus profilaction.The plain roentgenogram clearly showed the location of the body which was situated on the plantar side of the left foot (Figure 1 and 2). A needle with two seperate pieces could easily be detected on the graphy. Because the anteroposterior and lateral plain radiographies could indicate two-dimensional image, an intraoperative flouroscope was used.