Anatomical variations of the flexor hallucis longus muscle and the consequences for tendon transfer. A cadaver study

The aim of this study was to evaluate the occurrence of anatomical variations of the musculotendinous junction of the flexor hallucis longus muscle. Eighty cadaver specimens preserved according to Thiel's method were assessed. Following careful dissection, the distance between the musculotendin...

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Veröffentlicht in:Surgical and radiologic anatomy (English ed.) 2005-08, Vol.27 (3), p.227-231
Hauptverfasser: PICHLER, Wolfgang, TESCH, Norbert Peter, GRECHENIG, Wolfgang, TANZER, Karin, GRASSLOBER, Michael
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container_end_page 231
container_issue 3
container_start_page 227
container_title Surgical and radiologic anatomy (English ed.)
container_volume 27
creator PICHLER, Wolfgang
TESCH, Norbert Peter
GRECHENIG, Wolfgang
TANZER, Karin
GRASSLOBER, Michael
description The aim of this study was to evaluate the occurrence of anatomical variations of the musculotendinous junction of the flexor hallucis longus muscle. Eighty cadaver specimens preserved according to Thiel's method were assessed. Following careful dissection, the distance between the musculotendinous junction and the bone-cartilage border of the distal tibia was determined. Three typical anatomical variations were found: (1) a long lateral and shorter medial muscle belly; (2) equal-length medial and lateral muscle bellies; (3) a long medial and shorter lateral muscle belly. As a special variation in two cases only one lateral muscle belly was found. When planning a flexor hallucis longus transfer, preoperative magnetic resonance tomography (MRT) should be carried out in order to guarantee sufficient coverage of an existing soft tissue defect. These anatomical characteristics have also to be considered when interpreting ultrasonic or MRT findings in this region.
doi_str_mv 10.1007/s00276-005-0314-y
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subjects Aged
Aged, 80 and over
Anatomy & physiology
Biological and medical sciences
Cadaver
Dissection
Female
General aspects
Humans
Legs
Lower Extremity - anatomy & histology
Male
Medical sciences
Middle Aged
Muscle, Skeletal - anatomy & histology
Muscular system
Tendon Transfer
Tendons
title Anatomical variations of the flexor hallucis longus muscle and the consequences for tendon transfer. A cadaver study
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