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Czasopismo

2019 | 78 | 3 |

Tytuł artykułu

Innervation of flexor hallucis longus muscle: an anatomical study for selective neurotomy

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The aim of the study was to describe the innervation of flexor hallucis longus (FHL) and obtain its surgical coordinates to facilitate selective neurotomy. Materials and methods: Fifteen embalmed lower limbs of adults were studied. Anatomical dissections to isolate the innervating branches of FHL were performed. Distance between the supplying nerve of FHL, including both its origin and termination, and the medial malleolus were obtained, providing anatomical coordinates beneficial for surgery. Results: In all cases, FHL was innervated by only one branch, which originated from the tibial nerve. Mean distance between the medial malleolus and the nervous branch origin was 21.39 ± 3.05 cm. Mean distance between the medial malleolus and the nervous branch termination was 12.7 ± 1.59 cm. Length of the nervous branch innervating FHL was proportional to the length of the leg, measuring 8.69 ± 2.45 cm. All nerves were located 15–17.4 cm above the medial malleolus. Conclusions: This anatomical study traced valuable surgical coordinates useful for performing selective peripheral neurotomy on the nerve branch innervating the FHL. (Folia Morphol 2019; 78, 3: 617–620)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

78

Numer

3

Opis fizyczny

p.617–620,fig.,ref.

Twórcy

autor
  • Department of Anatomy, University of Strasbourg, 4 rue Kirschleger 67000 Strasbourg, France
  • Department of Interventional Radiology, Strasbourg University Hospital, Strasbourg, France
autor
  • Department of Interventional Radiology, Strasbourg University Hospital, Strasbourg, France
autor
  • Department of Interventional Radiology, Strasbourg University Hospital, Strasbourg, France
autor
  • Department of Radiology and Imaging, Queen Elizabeth Hospital, Kowloon, Hong Kong
autor
  • Department of Interventional Radiology, Strasbourg University Hospital, Strasbourg, France
autor
  • Department of Anatomy, University of Strasbourg, Strasbourg, France
  • Department of Orthopaedic Surgery – CCOM, Strasbourg University Hospital, Illkirch, France

Bibliografia

  • 1. Apaydin N, Loukas M, Kendir S, et al. The precise localization of distal motor branches of the tibial nerve in the deep posterior compartment of the leg. Surg Radiol Anat. 2008; 30(4): 291–295, doi: 10.1007/s00276-008-0321-x, indexed in Pubmed: 18283390.
  • 2. Bodily KD, Spinner RJ, Bishop AT. Restoration of motor function of the deep fibular (peroneal) nerve by direct nerve transfer of branches from the tibial nerve: an anatomical study. Clin Anat. 2004; 17(3): 201–205, doi: 10.1002/ca.10189, indexed in Pubmed: 15042567.
  • 3. Gracies J, Nance P, Elovic E, et al. Traditional pharmacological treatments for spasticity part II: General and regional treatments. Muscle Nerve. 1997; 20(S6): 92–120, doi: 10.1002/(sici)1097-4598(1997)6+<92::aid-mus7>3.3.co;2-e.
  • 4. Lee JH, Han SH, Ye JF, et al. Effective zone of botulinum toxin a injections in hallux claw toe syndrome: an anatomical study. Muscle Nerve. 2012; 45(2): 217–221, doi: 10.1002/mus.22263, indexed in Pubmed: 22246877.
  • 5. Lui TH. Flexor hallucis longus tendon to extensor hallucis longus tendon transfer for flexible hallux claw toe deformity: a minimally invasive approach. Foot Ankle Int. 2013; 34(2): 303–306, doi: 10.1177/1071100712467431, indexed in Pubmed: 23413075.
  • 6. Suputtitada A. Local botulinum toxin type A injections in the treatment of spastic toes. Am J Phys Med Rehabil. 2002; 81(10): 770–775, doi: 10.1097/01.PHM.0000027043.28847.47, indexed in Pubmed: 12362118.
  • 7. Wongphaet P, Chinsethagij K, Suarchawaratana S, et al. Precise localization of motor branching and motor points: a cadeveric study. J Med Assoc Thai. 2005; 88(12): 1884–1891, indexed in Pubmed: 16518990.
  • 8. Yu D, Yin H, Han T, et al. Intramuscular innervations of lower leg skeletal muscles: applications in their clinical use in functional muscular transfer. Surg Radiol Anat. 2016; 38(6): 675–685, doi: 10.1007/s00276-015-1601-x, indexed in Pubmed: 26707590.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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