Interposition of the Flexor Hallucis Longus Tendon Through the Subtalar Joint as a Late Complication of Pediatric Clubfoot Repair: A Case Report

Interposition of the flexor hallucis longus tendon through the subtalar joint was identified intraoperatively during a triple arthrodesis for a symptomatic adult clubfoot in a patient who had a posteromedial release as a child. The mechanism for this occurrence is unknown, although it is likely that the flexor hallucis longus tendon deviated into the subtalar joint during the early postoperative period. Interposition of the flexor hallucis longus tendon has not been previously reported as a late complication of pediatric clubfoot repair. Level of Clinical Evidence: 4