Extensor Hallucis Longus Contracture Following Intramedullary Nailing for a Pilon Fracture
Nicholas J Tsavaris, Mitchell J Lomis, Sean Gordon, Parker Vaughan, Scarlett Schneider

TL;DR
This paper describes a rare case of EHL tendon fibrosis after a pilon fracture and discusses treatment and prevention methods.
Contribution
The paper presents a rare case of isolated EHL fibrosis following a pilon fracture and offers insights into its management.
Findings
EHL fibrosis is a rare complication following pilon fractures.
The case highlights the importance of early recognition and treatment to improve outcomes.
Preventive strategies are discussed to reduce the risk of this complication.
Abstract
Extensor hallucis longus (EHL) fibrosis is an uncommon complication following a pilon fracture. This is caused by compartment syndrome from fracture immobilization followed by adhesion of muscle or tendon. Only a few cases of EHL fibrosis secondary to a post-traumatic lower leg fracture have been reported. This paper reports on a rare case of isolated EHL tendon fibrosis after a pilon fracture. It will outline the treatment received and the current prognosis of the patient, while also discussing methods for prevention of this complication.
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Taxonomy
TopicsOrthopedic Surgery and Rehabilitation · Shoulder Injury and Treatment · Botulinum Toxin and Related Neurological Disorders
