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Flexor Hallucis Longus Tenolysis/Tenosynovectomy in Dancers

Barchi, Elizabeth I; Swensen, Stephanie; Dimant, Oscar E; McKay, Tracy Espiritu; Rose, Donald J
The purpose of this study was to report on a series of dancers who had undergone flexor hallucis longus (FHL) tenolysis/tenosynovectomy after having failed conservative management. Institutional human subjects committee approval was obtained prior to initiating this study. This study is a retrospective case series of 58 dancers and 63 ankles who underwent FHL tenolysis/tenosynovectomy via an open posteromedial approach by a single surgeon between 1993 and 2017. All patients were interviewed and charts reviewed. Collected variables included: preoperative and postoperative pain levels, time to return to dance, and subjective satisfaction with the procedure. Age, primary dance form, and level of dance were determined. Mean preoperative pain level decreased significantly postoperatively. Mean time to return to dance was 7.1 weeks. There was a 98% (62/63) return to dance at some level while 97% (61/63) of patients returned to dance symptom-free. There were no neurovascular or other major complications. Minor complications included stiffness at follow-up (6.3%, 4/63), superficial wound infection (3.1%, 2/63), and hypertrophic scar (4.8%, 3/63). Over 97% (61/63) of dancers considered the procedure a success and 98% (62/63) of dancers would repeat the procedure. This is one of the largest series reported of isolated FHL tenolysis/tenosynovectomy in dancers who have failed nonoperative management. Satisfactory pain relief and return to dance with a low complication rate may be expected from this surgical procedure. The results of this study can be used to help dancers and their providers make informed decisions about treatment in isolated FHL tendinitis.
PMID: 34301473
ISSN: 1542-2224
CID: 4948822

Poster 71 New Frontiers: Inpatient Comprehensive Rehabilitation After Full Face Transplantation: A Case Report

McKay, Tracy Espiritu; Balou, Matina; Kao, Daniel J; Ho, Derek J; Cohen, Jeffrey; Rodriguez, Eduardo D
PMID: 27672839
ISSN: 1934-1563
CID: 2262332

Poster 511 Evaluating Burnout in Physical Medicine and Rehabilitation Residents

Kao, Daniel J; Franzese, Kevin; Seo, Young Il; Mandalaywala, Neil V; Oak, Kunal; Moroz, Alex; Espiritu, Tracy; Ho, Derek J
PMID: 27673252
ISSN: 1934-1563
CID: 3091472

Poster 72 Teetering on the Edge: Rehabilitation in a Medically Complex Patient with Familial Dysautonomia (Hereditary Sensory Autonomic Neuropathy Type III): A Case Report

Ho, Derek J; Kao, Daniel J; Espiritu, Tracy
PMID: 27672840
ISSN: 1934-1563
CID: 3977182