Anatomical Study of the Compositions and Internal Connections of the Chiasma Plantare (Master Knot of Henry): Exploring Its Possible Clinical Impact.
Anatomical Study of the Compositions and Internal Connections of the Chiasma Plantare (Master Knot of Henry): Exploring Its Possible Clinical Impact.
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跖交叉（亨利大师结）的成分和内部连接的解剖学研究：探索其可能的临床影响。
DOI：
10.1053/j.jfas.2018.09.032
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发表时间：
2019-09
期刊：
影响因子：
--
通讯作者：
Liu YQ
中科院分区：
文献类型：
--
作者：
Zhao XY;Zhao HW;Yu M;Zheng ZH;Tang Y;Cui MM;Sun XY;Qin XZ;Liu YQ
本研究的目的是整合跖交叉各成分之间的互连纤维类型，并推断它们的屈曲行为。对52只尸体足（左足26只，右足25只）的跖交叉和长屈肌腱进行大体解剖切除。然后对趾长屈肌（FDL）、拇长屈肌（FHL）和跖方肌（QP）之间的联系进行分类和分析。FHL和FDL之间的连接为I型43例（86%），III型2例（4%），V型5例（10%），FHL操纵第1至第3脚趾，FDL操纵第1至第5脚趾。28例（56%）QP的形状显示为双头QP，22例（44%）为内头QP。扁平交叉由2层构成28例（56%），3层构成22例（44%）：a型9例（18%），b1型2例（4%），b2型和b3型各1例（2%）。10例（20%）FHL控制第二趾; 27例（54%）FHL控制第二和第三趾; 13例（26%）FHL控制第二、第三和第四趾。QP在所有病例中操作第三和第四脚趾，38例（76%）病例中操作第二脚趾，11例（22%）病例中操作第五脚趾。这些数据表明，这种变化可能是由于肌腱转移。综上所述，我们认为基于本研究，FDL对于踝关节和前足的恢复更为先进。
The purposes of this study were to integrate the types of interconnecting fibers among components of the chiasma plantare and to deduce their flexion actions. The chiasma plantare and the long flexor tendons in 52 cadaveric feet (26 left feet and 25 right feet) were dissected and removed via gross anatomic dissection. The connections among the flexor digitorum longus (FDL), flexor hallucis longus (FHL), and quadratus plantae (QP) were then classified and analyzed. The connection between the FHL and FDL was type I in 43 (86%) cases, type III in 2 (4%) cases, and type V in 5 (10%) cases, with the FHL manipulating the first through third toes and the FDL manipulating the first through the fifth toes. The shape of the QP in 28 (56%) cases exhibited a 2-headed QP, and in 22 (44%) cases, a medial-headed QP. The composition of the chiasma plantare was 2 layers in 28 (56%) cases and 3 layers in 22 (44%) cases: 9 (18%) cases were type a, 2 (4%) cases were type b1, and 1 (2%) case each was classified as type b2 and b3. The FHL controlled the second toe in 10 (20%) cases; both the second and third toes in 27 (54%) cases; and the second, third, and fourth toes in 13 (26%) cases. The QP manipulated the third and fourth toes in all cases, the second toe in 38 (76%) cases, and the fifth toe in 11 (22%) cases. These data suggest that such variations might result from tendon transfer. In conclusion, we considered the FDL to be more advanced for the recovery of both the ankle and the forefoot based on this study.
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影响因子：
1.3
作者：
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