Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers

Abstract The transfer of the flexor hallucis longus tendon or flexor digitorum longus tendon is frequently used for the treatment of posterior tibial tendon insufficiency or chronic Achilles tendinopathy. According to several anatomical studies, harvesting the flexor hallucis longus (FHL) tendon may...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Haijiao Mao, Wenwei Dong, Zengyuan Shi, Weigang Yin, Dachuan Xu, Keith L. Wapner
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e714d98c461a4324b855882e1e3c2b2d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e714d98c461a4324b855882e1e3c2b2d
record_format	dspace
spelling	oai:doaj.org-article:e714d98c461a4324b855882e1e3c2b2d2021-12-02T15:05:16ZAnatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers10.1038/s41598-017-13742-02045-2322https://doaj.org/article/e714d98c461a4324b855882e1e3c2b2d2017-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-13742-0https://doaj.org/toc/2045-2322Abstract The transfer of the flexor hallucis longus tendon or flexor digitorum longus tendon is frequently used for the treatment of posterior tibial tendon insufficiency or chronic Achilles tendinopathy. According to several anatomical studies, harvesting the flexor hallucis longus (FHL) tendon may cause nerve injury. Sixty-eight embalmed feet were dissected and anatomically classified to define the relationship between Henry’s knot and the plantar nerves. Two different configurations were identified. In Pattern 1, which was observed in 64 specimens (94.1%), the distance between the medial plantar nerve and Henry’s knot was 5.96 mm (range, 3.34 to 7.84, SD = 1.12). In Pattern 2, which was observed in 4 specimens (5.9%), there was no distance between the medial plantar nerve (MPN) and Henry’s knot. No statistically significant difference was observed according to gender or side (p > 0.05). A retraction was performed to harvest the FHL through the posteromedial hindfoot incision using a single minimally invasive technique, and the medial and lateral plantar nerve lesions were scrupulously assessed. In conclusion, medial and lateral plantar nerve injuries did not occur more frequently, even after performing a single minimally invasive incision to harvest the FHL tendon, due to the large distance between the FHL tendon and the medial and lateral plantar nerves.Haijiao MaoWenwei DongZengyuan ShiWeigang YinDachuan XuKeith L. WapnerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Haijiao Mao Wenwei Dong Zengyuan Shi Weigang Yin Dachuan Xu Keith L. Wapner Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers
description	Abstract The transfer of the flexor hallucis longus tendon or flexor digitorum longus tendon is frequently used for the treatment of posterior tibial tendon insufficiency or chronic Achilles tendinopathy. According to several anatomical studies, harvesting the flexor hallucis longus (FHL) tendon may cause nerve injury. Sixty-eight embalmed feet were dissected and anatomically classified to define the relationship between Henry’s knot and the plantar nerves. Two different configurations were identified. In Pattern 1, which was observed in 64 specimens (94.1%), the distance between the medial plantar nerve and Henry’s knot was 5.96 mm (range, 3.34 to 7.84, SD = 1.12). In Pattern 2, which was observed in 4 specimens (5.9%), there was no distance between the medial plantar nerve (MPN) and Henry’s knot. No statistically significant difference was observed according to gender or side (p > 0.05). A retraction was performed to harvest the FHL through the posteromedial hindfoot incision using a single minimally invasive technique, and the medial and lateral plantar nerve lesions were scrupulously assessed. In conclusion, medial and lateral plantar nerve injuries did not occur more frequently, even after performing a single minimally invasive incision to harvest the FHL tendon, due to the large distance between the FHL tendon and the medial and lateral plantar nerves.
format	article
author	Haijiao Mao Wenwei Dong Zengyuan Shi Weigang Yin Dachuan Xu Keith L. Wapner
author_facet	Haijiao Mao Wenwei Dong Zengyuan Shi Weigang Yin Dachuan Xu Keith L. Wapner
author_sort	Haijiao Mao
title	Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers
title_short	Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers
title_full	Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers
title_fullStr	Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers
title_full_unstemmed	Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers
title_sort	anatomical study of the neurovascular in flexor hallucis longus tendon transfers
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/e714d98c461a4324b855882e1e3c2b2d
work_keys_str_mv	AT haijiaomao anatomicalstudyoftheneurovascularinflexorhallucislongustendontransfers AT wenweidong anatomicalstudyoftheneurovascularinflexorhallucislongustendontransfers AT zengyuanshi anatomicalstudyoftheneurovascularinflexorhallucislongustendontransfers AT weigangyin anatomicalstudyoftheneurovascularinflexorhallucislongustendontransfers AT dachuanxu anatomicalstudyoftheneurovascularinflexorhallucislongustendontransfers AT keithlwapner anatomicalstudyoftheneurovascularinflexorhallucislongustendontransfers
_version_	1718388928098074624

Anatomical Study of the Neurovascular in Flexor Hallucis Longus Tendon Transfers

Ejemplares similares