关键词: Flexor digitorum longus Flexor hallucis longus Masterknot of Henry Navicular Tendon transfer

来  源:   DOI:10.1007/s43465-023-00883-w   PDF(Pubmed)

Abstract:
UNASSIGNED: Medial aspect of foot is unexplored due to its complex anatomy. Masterknot of Henry is an important landmark in this region, which plays a key role during tendon transfer procedures especially in those involving the flexor hallucis longus and flexor digitorum longus. We aim to determine the exact anatomical location of masterknot of Henry with respect to the bony prominences of the medial aspect of the foot and compare these measurements to the length of the foot.
UNASSIGNED: Twenty cadaveric below-knee specimens were dissected. Structures on the medial side of the foot were exposed. Distance of the masterknot of Henry from surrounding bony landmarks was measured. Depth of the masterknot from skin of the plantar aspect was also measured. Means of all parameters were calculated. Relation between measurements and the foot length was determined using correlation and regression analysis. P value of less than 0.05 was considered significant.
UNASSIGNED: Distance of masterknot of Henry from navicular tuberosity was found to be fairly constant of 19.965 mm. Foot length was found to be correlating with the distance between masterknot of Henry and medial malleolus, navicular tuberosity and its depth from the skin.
UNASSIGNED: Navicular tuberosity can be considered an important surface landmark for the location of masterknot of Henry. Correlation of length of the feet with various measurements helps to find the masterknot considering the foot length to be an important variable. Good knowledge of surface anatomy leads to shorter operating time and less morbidity during procedures involving the flexor hallucis longus and flexor digitorum longus.
摘要:
由于其复杂的解剖结构,尚未探索足的内侧。亨利的母结是该地区的重要地标,在肌腱转移过程中起着关键作用,尤其是在涉及长长屈肌和指长屈肌的肌腱转移过程中。我们的目标是确定亨利母结相对于脚内侧骨突出的确切解剖位置,并将这些测量值与脚的长度进行比较。
解剖了20个尸体膝下标本。足部内侧的结构被暴露。测量了亨利的母结与周围骨骼地标的距离。还测量了母结从足底方面的皮肤的深度。计算所有参数的平均值。使用相关和回归分析确定测量值与脚长之间的关系。小于0.05的P值被认为是显著的。
发现亨利的母结与舟骨结节的距离相当恒定为19.965mm。发现脚的长度与亨利的母结和内踝之间的距离有关,舟骨结节和它离皮肤的深度。
舟骨结节可以被认为是亨利母结位置的重要表面标志。脚的长度与各种测量值的相关性有助于发现母结,认为脚的长度是重要的变量。良好的表面解剖学知识可缩短手术时间,并在涉及长屈肌和指长屈肌的手术过程中减少发病率。
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