An anatomic study of the quadratus plantae in relation to tendinous slips of the flexor hallucis longus for gait analysis
The aim of this study was to demonstrate the morphology of the quadratus plantae (QP) in relation to the tendinous slips of the flexor hallucis longus (FHL) and their surrounding structures, thereby providing data to understand function of the QP during gait, and for analyzing the movements of the f...
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Veröffentlicht in: | Clinical anatomy (New York, N.Y.) N.Y.), 2011-09, Vol.24 (6), p.768-773 |
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creator | Hur, Mi-Sun Kim, Jae-Hyoun Woo, Jung-Su Choi, Byoung-Young Kim, Hee-Jin Lee, Kyu-Seok |
description | The aim of this study was to demonstrate the morphology of the quadratus plantae (QP) in relation to the tendinous slips of the flexor hallucis longus (FHL) and their surrounding structures, thereby providing data to understand function of the QP during gait, and for analyzing the movements of the foot and designing postoperative rehabilitation programs. The QP was investigated in 50 specimens of embalmed adult cadavers. The QP inserted into the tendon of the flexor digitorum longus (FDL) and the tendinous slips of the FHL in 96%, and only to the tendon of the FDL in 4%. The tendinous slip of the FHL targeted the tendon for the second toe in 4 of the 50 specimens (8%). The tendinous slip divided into two separate slips to the tendons for the second and third toes in 32 specimens (64%), and for the second, third, and fourth toes in 14 specimens (28%). Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe‐off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide more efficient control of the long flexor tendons in comparison with that of the QP to the tendon of the FDL. Clin. Anat. 24:768–773, 2011. © 2011 Wiley‐Liss, Inc. |
doi_str_mv | 10.1002/ca.21170 |
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The QP was investigated in 50 specimens of embalmed adult cadavers. The QP inserted into the tendon of the flexor digitorum longus (FDL) and the tendinous slips of the FHL in 96%, and only to the tendon of the FDL in 4%. The tendinous slip of the FHL targeted the tendon for the second toe in 4 of the 50 specimens (8%). The tendinous slip divided into two separate slips to the tendons for the second and third toes in 32 specimens (64%), and for the second, third, and fourth toes in 14 specimens (28%). Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe‐off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide more efficient control of the long flexor tendons in comparison with that of the QP to the tendon of the FDL. Clin. Anat. 24:768–773, 2011. © 2011 Wiley‐Liss, Inc.</description><identifier>ISSN: 0897-3806</identifier><identifier>EISSN: 1098-2353</identifier><identifier>DOI: 10.1002/ca.21170</identifier><identifier>PMID: 21812033</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Female ; flexor digitorum longus muscle ; flexor hallucis longus muscle ; Foot - anatomy & histology ; Foot - physiology ; gait ; Gait - physiology ; Humans ; Male ; Middle Aged ; Muscle, Skeletal - anatomy & histology ; Muscle, Skeletal - physiology ; quadratus plantae muscle ; tendinous slip ; Tendons - anatomy & histology ; Tendons - physiology</subject><ispartof>Clinical anatomy (New York, N.Y.), 2011-09, Vol.24 (6), p.768-773</ispartof><rights>Copyright © 2011 Wiley‐Liss, Inc.</rights><rights>Copyright © 2011 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4240-2e92ca31ac675afd061e3623c54b4a83f26c9490511e8a807537eee169e3dae23</citedby><cites>FETCH-LOGICAL-c4240-2e92ca31ac675afd061e3623c54b4a83f26c9490511e8a807537eee169e3dae23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fca.21170$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fca.21170$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21812033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hur, Mi-Sun</creatorcontrib><creatorcontrib>Kim, Jae-Hyoun</creatorcontrib><creatorcontrib>Woo, Jung-Su</creatorcontrib><creatorcontrib>Choi, Byoung-Young</creatorcontrib><creatorcontrib>Kim, Hee-Jin</creatorcontrib><creatorcontrib>Lee, Kyu-Seok</creatorcontrib><title>An anatomic study of the quadratus plantae in relation to tendinous slips of the flexor hallucis longus for gait analysis</title><title>Clinical anatomy (New York, N.Y.)</title><addtitle>Clin. Anat</addtitle><description>The aim of this study was to demonstrate the morphology of the quadratus plantae (QP) in relation to the tendinous slips of the flexor hallucis longus (FHL) and their surrounding structures, thereby providing data to understand function of the QP during gait, and for analyzing the movements of the foot and designing postoperative rehabilitation programs. The QP was investigated in 50 specimens of embalmed adult cadavers. The QP inserted into the tendon of the flexor digitorum longus (FDL) and the tendinous slips of the FHL in 96%, and only to the tendon of the FDL in 4%. The tendinous slip of the FHL targeted the tendon for the second toe in 4 of the 50 specimens (8%). The tendinous slip divided into two separate slips to the tendons for the second and third toes in 32 specimens (64%), and for the second, third, and fourth toes in 14 specimens (28%). Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe‐off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide more efficient control of the long flexor tendons in comparison with that of the QP to the tendon of the FDL. Clin. Anat. 24:768–773, 2011. © 2011 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>flexor digitorum longus muscle</subject><subject>flexor hallucis longus muscle</subject><subject>Foot - anatomy & histology</subject><subject>Foot - physiology</subject><subject>gait</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - anatomy & histology</subject><subject>Muscle, Skeletal - physiology</subject><subject>quadratus plantae muscle</subject><subject>tendinous slip</subject><subject>Tendons - anatomy & histology</subject><subject>Tendons - physiology</subject><issn>0897-3806</issn><issn>1098-2353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10F1v0zAUBmALgVgZSPyCyXdwk-KPxHEuS7RuoAkkBOLSOnNONg837mxHNP-edG13x5Ul6_F7fF5C3nO25IyJTxaWgvOavSALzhpdCFnJl2TBdFMXUjN1Rt6k9MAY52WtX5MzwTUXTMoFmVYDhQFy2DhLUx67iYae5nukjyN0EfKY6NbDkAGpG2hED9mFgeZAMw6dG8IMknfbdHrXe9yFSO_B-9G6RH0Y7mbTz3d34PJ-mp-SS2_Jqx58wnfH85z8Wl_-bK-Lm-9XX9rVTWFLUbJCYCMsSA5W1RX0HVMcpRLSVuVtCVr2QtmmbFjFOWrQrK5kjYhcNSg7QCHPyYdD7jaGxxFTNhuXLPp5KZw_b7TmTKtK7eXHg7QxpBSxN9voNhAnw5nZ92wsmKeeZ3pxDB1vN9g9w1OxMygO4K_zOP03yLSrU-DRu5Rx9-wh_jGqlnVlfn-7Mp-_tqJVPyqzlv8AlLaV8Q</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Hur, Mi-Sun</creator><creator>Kim, Jae-Hyoun</creator><creator>Woo, Jung-Su</creator><creator>Choi, Byoung-Young</creator><creator>Kim, Hee-Jin</creator><creator>Lee, Kyu-Seok</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201109</creationdate><title>An anatomic study of the quadratus plantae in relation to tendinous slips of the flexor hallucis longus for gait analysis</title><author>Hur, Mi-Sun ; Kim, Jae-Hyoun ; Woo, Jung-Su ; Choi, Byoung-Young ; Kim, Hee-Jin ; Lee, Kyu-Seok</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4240-2e92ca31ac675afd061e3623c54b4a83f26c9490511e8a807537eee169e3dae23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>flexor digitorum longus muscle</topic><topic>flexor hallucis longus muscle</topic><topic>Foot - anatomy & histology</topic><topic>Foot - physiology</topic><topic>gait</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - anatomy & histology</topic><topic>Muscle, Skeletal - physiology</topic><topic>quadratus plantae muscle</topic><topic>tendinous slip</topic><topic>Tendons - anatomy & histology</topic><topic>Tendons - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hur, Mi-Sun</creatorcontrib><creatorcontrib>Kim, Jae-Hyoun</creatorcontrib><creatorcontrib>Woo, Jung-Su</creatorcontrib><creatorcontrib>Choi, Byoung-Young</creatorcontrib><creatorcontrib>Kim, Hee-Jin</creatorcontrib><creatorcontrib>Lee, Kyu-Seok</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical anatomy (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hur, Mi-Sun</au><au>Kim, Jae-Hyoun</au><au>Woo, Jung-Su</au><au>Choi, Byoung-Young</au><au>Kim, Hee-Jin</au><au>Lee, Kyu-Seok</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An anatomic study of the quadratus plantae in relation to tendinous slips of the flexor hallucis longus for gait analysis</atitle><jtitle>Clinical anatomy (New York, N.Y.)</jtitle><addtitle>Clin. Anat</addtitle><date>2011-09</date><risdate>2011</risdate><volume>24</volume><issue>6</issue><spage>768</spage><epage>773</epage><pages>768-773</pages><issn>0897-3806</issn><eissn>1098-2353</eissn><abstract>The aim of this study was to demonstrate the morphology of the quadratus plantae (QP) in relation to the tendinous slips of the flexor hallucis longus (FHL) and their surrounding structures, thereby providing data to understand function of the QP during gait, and for analyzing the movements of the foot and designing postoperative rehabilitation programs. The QP was investigated in 50 specimens of embalmed adult cadavers. The QP inserted into the tendon of the flexor digitorum longus (FDL) and the tendinous slips of the FHL in 96%, and only to the tendon of the FDL in 4%. The tendinous slip of the FHL targeted the tendon for the second toe in 4 of the 50 specimens (8%). The tendinous slip divided into two separate slips to the tendons for the second and third toes in 32 specimens (64%), and for the second, third, and fourth toes in 14 specimens (28%). Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe‐off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide more efficient control of the long flexor tendons in comparison with that of the QP to the tendon of the FDL. Clin. Anat. 24:768–773, 2011. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21812033</pmid><doi>10.1002/ca.21170</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Female flexor digitorum longus muscle flexor hallucis longus muscle Foot - anatomy & histology Foot - physiology gait Gait - physiology Humans Male Middle Aged Muscle, Skeletal - anatomy & histology Muscle, Skeletal - physiology quadratus plantae muscle tendinous slip Tendons - anatomy & histology Tendons - physiology |
title | An anatomic study of the quadratus plantae in relation to tendinous slips of the flexor hallucis longus for gait analysis |
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