Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, China.
Arthrosc Tech. 2015 Dec 23;4(6):e847-50. doi: 10.1016/j.eats.2015.08.007. eCollection 2015 Dec.
A post-traumatic partial tear of the flexor hallucis longus tendon at the master knot of Henry and the resultant fibrosis of the knot can result in pain at the medial foot arch or posteromedial ankle pain with trigger hallux. Open debridement of the master knot of Henry is indicated if the symptoms do not improve with nonoperative treatment. The open procedure requires extensive soft-tissue dissection because the master knot of Henry is a deep structure. Endoscopic release of the master knot of Henry is an alternative to the open procedure and has the advantage of less surgical trauma and potential for less chance of recurrence of fibrosis of the master knot of Henry.
拇长屈肌腱在亨利结处的创伤后部分撕裂以及由此导致的结部纤维化，可引起足内侧足弓疼痛或伴有拇趾扳机现象的内踝后内侧疼痛。如果非手术治疗后症状无改善，则需对亨利结进行开放性清创。开放性手术需要广泛的软组织分离，因为亨利结是一个深部结构。亨利结的内镜下松解是开放性手术的一种替代方法，具有手术创伤较小、亨利结纤维化复发几率可能较低的优点。
