Anatomical Study of the Accessory Tendon of the Extensor Hallucis Longus Muscle and Its Clinical Application.
Anatomical Study of the Accessory Tendon of the Extensor Hallucis Longus Muscle and Its Clinical Application.
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拇长伸肌副腱的解剖学研究及其临床应用
DOI：
10.4055/cios20054
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发表时间：
2021-06
影响因子：
2.5
通讯作者：
Li Q
中科院分区：
文献类型：
--
作者：
Li Y;Zhang JY;Zhao XY;Pan LY;Jin DH;Xu HX;Cui HZ;Liu YQ;Qin XZ;Li Q
拇长伸肌副腱（ATEHL）是一种常见的异常结构，其临床意义尚存在争议。在这项研究中，我们提供了亚洲尸体的ATEHL的发病率和其形态学类型的特点，并探讨其临床应用。方法对50侧10%福尔马林固定的成人足肌腱进行解剖学分析。我们测量了ATEHL和拇短伸肌（EHB）的长度和宽度。结果所有解剖标本均有ATEHL。第一跖趾关节周围的副肌腱，插入到关节囊和近节指骨的背侧基地。我们根据ATEHL的方向将其分为3种类型。基于性别的ATEHL类型差异无统计学显著性。结论在本研究的所有尸体标本中均发现了ATEHL。我们推测，当足趾伸展时，ATEHL与EHB起拮抗作用，这可能有助于防止拇外翻畸形的发生。
Backgroud The accessory tendon of the extensor hallucis longus (ATEHL) muscle is a common abnormal structure, and its clinical significance remains debatable. In this study, we provide the incidence of the ATEHL and characterize its morphological types in Asian cadavers and investigate its clinical applications. Methods The tendons from 50 adult cadaveric feet, fixed in 10% formalin, were analyzed. We measured the length and width of both the ATEHL and the extensor hallucis brevis (EHB). Results All dissected specimens had an ATEHL. The first metatarsophalangeal joint was surrounded by an accessory tendon that inserted onto the joint capsule and the dorsal base of the proximal phalanx. We classified the ATEHL into 3 types based on their directions. Differences in ATEHL type based on sex were not statistically significant. Conclusions We found an ATEHL in all cadaveric specimens in this study. We surmise that the ATEHL acts as an antagonist with the EHB when the toe is extending, which might help prevent the occurrence of hallux valgus deformity.
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影响因子：
2.5
作者：
Bayer, T.;Kolodziejski, N.;Flueckiger, G.
通讯作者：
Flueckiger, G.
影响因子：
--
作者：
Bardeen, CR
通讯作者：
Bardeen, CR
影响因子：
1.2
作者：
Hill, Robert V.;Gerges, Luke
通讯作者：
Gerges, Luke
影响因子：
2.3
作者：
Duan, Xiaojun;Kadakia, Anish R.
通讯作者：
Kadakia, Anish R.
影响因子：
1.4
作者：
Natsis, K.;Konstantinidis, G. A.;Stavrou, P.
通讯作者：
Stavrou, P.