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拇长屈肌腱的四条腱束:一例报告

Four Tendinous Slips of Flexor Hallucis Longus Tendon: A Case Report.

作者信息

Maddox Macie B, Mashaw Sydney A, MacDonald Ellie M, Mira Andre J, Parker Weston J, Fakoya Adegbenro O

机构信息

Anatomy, Louisiana State University Health Sciences Center, Shreveport, USA.

Cellular Biology and Anatomy, Louisiana State University Health Sciences Center, Shreveport, USA.

出版信息

Cureus. 2024 May 3;16(5):e59601. doi: 10.7759/cureus.59601. eCollection 2024 May.

DOI:10.7759/cureus.59601
PMID:38716366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11076001/
Abstract

Interindividual variability presents a rich field of study in medical sciences. During a cadaveric dissection at Louisiana State University Health Sciences Center, a rare anatomical variation was discovered in the pedal anatomy of a female cadaver. Medical students, while dissecting the sole of the foot, identified a variant tendinous structure. This aberrant tendinous slip from the flexor hallucis longus (FHL) extended to the lateral four tendons of flexor digitorum longus (FDL) along the plantar aspect of the foot. The discovery suggested that the FHL shares a functional relationship with the FDL. Application of tension to the FHL was found to result in simultaneous flexion motion in the lesser toes, from the second to the fifth digit. The presence of this anatomical variant holds considerable importance for surgical interventions, especially as a potential graft source in tendon reconstructions, warranting its documentation in this report.

摘要

个体间差异是医学科学中一个丰富的研究领域。在路易斯安那州立大学健康科学中心进行尸体解剖时,在一具女性尸体的足部解剖结构中发现了一种罕见的解剖变异。医学生在解剖足底时,发现了一个变异的腱性结构。这条来自拇长屈肌(FHL)的异常腱束沿着足底延伸至趾长屈肌(FDL)的外侧四条肌腱。这一发现表明FHL与FDL存在功能关系。研究发现,对FHL施加张力会导致第二至第五趾同时出现屈曲运动。这种解剖变异的存在对手术干预具有重要意义,尤其是作为肌腱重建中潜在的移植物来源,因此有必要在本报告中进行记录。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/067889e212f8/cureus-0016-00000059601-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/1db3245623cd/cureus-0016-00000059601-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/d2e7666946da/cureus-0016-00000059601-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/067889e212f8/cureus-0016-00000059601-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/1db3245623cd/cureus-0016-00000059601-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/d2e7666946da/cureus-0016-00000059601-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4806/11076001/067889e212f8/cureus-0016-00000059601-i03.jpg

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本文引用的文献

1
MRI evaluation of interconnections between flexor hallucis longus and flexor digitorum longus around the Master knot of Henry.MRI 评估亨利结周围的趾长屈肌和踇长屈肌之间的连接。
Eur Radiol. 2023 Nov;33(11):8289-8299. doi: 10.1007/s00330-023-09753-3. Epub 2023 May 25.
2
Arnold Kirkpatrick Henry (1886-1962) and his eponym (Master Knot of Henry): a narrative review.(1886-1962)阿诺德·柯克帕特里克·亨利及其同名物(亨利结):叙述性回顾。
Surg Radiol Anat. 2022 Jan;44(1):157-168. doi: 10.1007/s00276-021-02847-x. Epub 2021 Oct 5.
3
Flexor Hallucis Longus Tendon Impingement Syndrome: All-inside Arthroscopic Treatment and Long-term Follow-up.
拇长屈肌腱撞击综合征:全关节镜治疗及长期随访
J Foot Ankle Surg. 2020 Nov-Dec;59(6):1197-1200. doi: 10.1053/j.jfas.2020.05.014. Epub 2020 Jun 9.
4
Communications between the tendons of flexor hallucis longus and flexor digitorum longus: a cadaveric study.拇长屈肌腱与趾长屈肌腱之间的交通:一项尸体研究。
Surg Radiol Anat. 2019 Dec;41(12):1411-1419. doi: 10.1007/s00276-019-02311-x. Epub 2019 Sep 20.
5
Anatomical feasibility study of flexor hallucis longus transfer in treatment of Achilles tendon and posteromedial portal of ankle arthroscopy.拇长屈肌转移治疗跟腱及踝关节镜后内侧入路的解剖可行性研究
Surg Radiol Anat. 2018 Sep;40(9):1031-1038. doi: 10.1007/s00276-018-2021-5. Epub 2018 Apr 16.
6
Anatomy of Master Knot of Henry: A morphometric study on cadavers.亨利主结的解剖学:对尸体的形态学研究
Acta Orthop Traumatol Turc. 2018 Mar;52(2):134-142. doi: 10.1016/j.aott.2018.01.001. Epub 2018 Feb 1.
7
The high variability of the chiasma plantare and the long flexor tendons: Anatomical aspects of tendon transfer in foot surgery.足底交叉和长屈肌腱的高度变异性:足部手术中肌腱转移的解剖学方面。
Ann Anat. 2017 May;211:21-32. doi: 10.1016/j.aanat.2017.01.011. Epub 2017 Feb 3.
8
Anatomical study of toe flexion by flexor hallucis longus.拇长屈肌引起的足趾屈曲的解剖学研究。
Ann Anat. 2016 Mar;204:80-5. doi: 10.1016/j.aanat.2015.11.008. Epub 2015 Dec 15.
9
Anatomical variations of the flexor hallucis longus and flexor digitorum longus in the chiasma plantare.足底交叉处的屈趾长肌和趾长屈肌的解剖变异。
Foot Ankle Int. 2013 Nov;34(11):1580-7. doi: 10.1177/1071100713494780. Epub 2013 Jun 20.
10
An anatomic study of the quadratus plantae in relation to tendinous slips of the flexor hallucis longus for gait analysis.一项关于用于步态分析的足底方肌与踇长屈肌腱腱性附着的解剖学研究。
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