Department of Anatomical Dissection and Donation, Medical University of Lodz, Poland.
Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA; Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA; Department of Anatomical Sciences, St. George's University, Grenada.
Ann Anat. 2021 Nov;238:151762. doi: 10.1016/j.aanat.2021.151762. Epub 2021 May 13.
The extensor hallucis longus muscle originates from the anterior surface of the fibula and on the interosseous membrane medial to the origin of the extensor digitorum longus. Its distal attachment is typically located on the dorsal aspect of the distal phalanx of the hallux. However, EHL tendon variations have been reported in anatomical studies based on adults and fetuses. The most common variation is an additional tendinous slip in the region of the distal attachment. Additional tendinous slips can have specific names depending on where they insert. This wide range of morphological variations among the additional tendons has necessitated appropriate classification system to rank all types that could be used by clinicians. The main goal of this review is to summarize information from the available literature about the extensor hallucis longus muscle and to compare classification systems and the results of previous studies. Another aim is to create a new classification system.
拇长伸肌起源于腓骨的前面和趾长伸肌起点内侧的骨间膜。其远端附着点通常位于大脚趾末节背侧。然而，基于成人和胎儿的解剖学研究已经报道了 EHL 肌腱的变异。最常见的变异是在远端附着处有额外的腱性滑液。额外的腱性滑液可以根据插入的位置有特定的名称。这些额外的肌腱在形态上的广泛变异，需要有一个适当的分类系统来对所有可能被临床医生使用的类型进行分类。本综述的主要目的是总结现有文献中关于拇长伸肌的信息，并比较分类系统和以前研究的结果。另一个目的是创建一个新的分类系统。
