Large Toe

Large toe, more snapping/Flexor hallucis longus chord attraction/trigger Toe

1. Risk kinds of sport:

Sportsmen the many toe conditions/jumps accomplish (ballet, doing gymnastics, pole vault)

2. Anatomy

The muscle Flexor hallucis longus rises at the lower third of the back surface of the fibula. Its relatively strong muscle belly extends far after downward and changes then into the tendon, which passes behind the inside ankle a close channel and to the sole up to the beginning of the large toe runs.

3. Function:

The muscle works against a lowering foot by support of the foot curvature and bends the large toe.

4. Injury mechanism:

The tendon pulls on the jump leg in the back by a close inelastic channel. In consequence of overloading catch fire the tendon and tendon sheath, which entails a swelling. This again leads to mechanical disturbances in the sense of getting jammed between tendon and/or tendon sheath and channel.

5. Symptoms:

- Pain within the range under/behind the inside ankleand beside the Achilles' tendon with movement of the foot in particular on stretch of the large toe. Sometimes snatching the large toe.
- Swelling behind the inside ankle
- Mistake with Achilles' tendon damage frequently

6. First measures:

- Omitting the releasing load (toe conditions, jumps) over several weeks

7. Diagnostics:

- orthopedic investigation
- Ultrasonic
- if necessary nuclear spin tomography

8. Therapy:

a) Conservative therapy
- anti-inflammatory medicines
- Injections
- temporary insert supply
- Ointments

b) Operational therapy
- with chronic complaints by splitting the roof of the close channel

9. Physiotherapy:

- Electrical therapy
- Massages of the musculature concerned
- Stretch of the musculature
- exercices to stabilize the leg axis
- with chronic complaints thermal treatment

10. Prevention:

- Stretch of the musculature concerned
- Mobilization of the foot with existing movement restrictions

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