The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Avulsion Fracture of the Tibialis Anterior Tendon Associated with First Metatarsal Base Fracture: A Case Report and Literature Review

Document Type : CASE REPORT

Authors
Wei Mao 1
Shi-min Chang 2
Choon Chiet Hong 3
1 1 Department of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, China 2 Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore 3 Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
2 Department of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, China
3 2 Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore 3 Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
10.22038/abjs.2023.74692.3457
Abstract
We present a unique case of a 59-year-old shipyard worker who sustained an avulsion fracture of the 
tibialis anterior tendon, concurrently with a comminuted fracture at the base of the first metatarsal. This 
is the first reported case highlighting this concomitant presentation, which underlines the possibility of 
avulsion fractures accompanying comminuted fractures. Importantly, such avulsion fractures could lead 
to skin tenting and potential necrosis, necessitating early identification and prompt intervent ion. The 
patient underwent successful surgical intervention and displayed good functional restoration 15 months 
postoperatively.
 Level of evidence: IV

Graphical Abstract

Avulsion Fracture of the Tibialis Anterior Tendon Associated with First Metatarsal Base Fracture: A Case Report and Literature Review
Keywords
Avulsion fracture
Comminuted fracture
First metatarsal base
Skin tenting
Tibialis anterior tendon
Subjects
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  7. Kwak H-Y, Bae S-W. Isolated Avulsion Fracture at the Plantar Lateral Base of the First Metatarsal: A Case Report. Foot Ankle Int.2000 Oct; 21(10):864-7. doi: 10.1177/107110070002101013.
  8. Murakami T, Okamura K, Harada S, et al. Avulsion fracture of peroneus longus at the first metatarsal insertion: a case report. Br J Sports Med.2004; 38(4):E13. doi: 10.1136/bjsm.2003.008144.

 

 

 

The Archives of Bone and Joint Surgery
Volume 12, Issue 2
February 2024
Pages 144-147

  • Receive Date 30 August 2023
  • Revise Date 19 December 2023
  • Accept Date 20 December 2023