Article
Radiology, Nuclear Medicine & Medical Imaging
Seung-Hwan Park, Bo Mi Chung, Sujin Kim
Summary: This study used MRI to demonstrate the interconnections between flexor hallucis longus (FHL) and flexor digitorum longus (FDL) around the Master knot of Henry (MKH). The majority of the interconnections observed were type 1 (81%), with type 5 being the second most common (10%), followed by types 2 and 4 (4% each). The FHL tendon slips contributed to the second toe, and in 51% of cases, also the second and third toes. The layering organization was predominantly two-layered (59%), followed by three-layered (35%) and single-layered (6%). The distance between branching site and bony landmarks was longer in FDL to FHL cases, and the cross-sectional area (CSA) of FHL to FDL tendon slips was larger than FDL to FHL.
EUROPEAN RADIOLOGY
(2023)
Article
Orthopedics
Sebastian Fischer, Rahel Kutscher, Yves Gramlich, Alexander Klug, Reinhard Hoffmann, Sebastian Manegold
Summary: Chronic Achilles tendon rupture is commonly treated with secondary repair (SR) or flexor hallucis longus tendon (FHL) transfer. This study compared the outcomes of 60 patients and found no significant differences in clinical scores or strength measurements between the two procedures. However, a higher incidence of postoperative complications was observed in the FHL group, indicating the need for further investigation.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Nasef Mohamed N. Abdelatif, Jorge Pablo Batista
Summary: This study compared the outcomes of isolated endoscopic FHL tendon transfer and percutaneous Achilles tendon repairs in the surgical management of acute Achilles tendon ruptures. The results showed similar recovery rates after 9 months, but the FHL group had a higher likelihood of returning to normal activities.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Orthopedics
Joris Robberecht, Michael J. Oddy
Summary: The study presents successful outcomes of utilizing a limited plantar incision technique to harvest the FDL tendon for surgical correction of stage II TPTD, providing a long tendon graft for transfer while reducing the need for extensive medial midfoot dissection.
FOOT AND ANKLE SURGERY
(2021)
Article
Orthopedics
Nasef Mohamed N. Abdelatif, Jorge Pablo Batista
Summary: The study demonstrates satisfactory return to play and clinical outcomes with minimal complications when using an advanced endoscopically assisted technique involving FHL tendon transfer to treat acute Achilles tendon ruptures in a specific subset of patient cohort.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Orthopedics
Nicola Maffulli, Nikolaos Gougoulias, Panagiotis Christidis, Gayle D. Maffulli, Francesco Oliva
Summary: The study investigated the clinical outcomes of using percutaneous repair and FHL tendon augmentation to manage acute Achilles tendon ruptures, showing that this treatment method can reduce tendon elongation and improve functional recovery.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Anatomy & Morphology
S. Haratizadeh, S. Seyyedin, S. N. Nematollahi-mahani
Summary: This study reports a rare variation in the quadratus plantae muscle, including the division of its tendon into three tendons that are inserted into the inferior surface of the second, third, and fourth tendons of the flexor digitorum longus. Additionally, a slim tendinous interconnection between the quadratus plantae and flexor hallucis longus was observed. The knowledge of possible variations in the quadratus plantae muscle is crucial for foot surgeons, clinicians, and anatomists.
FOLIA MORPHOLOGICA
(2023)
Article
Medicine, General & Internal
Emre Emekli, Ugur Toprak
Summary: This study aimed to investigate the gender and age differences in posterior tibial tendon (PTT), flexor digitorum longus tendon (FDLT), medial malleolar groove (MMG), and posterior, anterior, and total posterior malleolus (PMP, APM, and TPM, respectively), and evaluate their use in posterior malleolus plating. The results showed that PTT width, thickness, and APM, TPM, and PPM length can be used to predict gender. There was also a weak positive correlation between age, MMG length, and FDLT width.
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
(2022)
Article
Orthopedics
Joseph Meter, Randa Bascharon, Ajit Amesur, Shivali Gupta, Daniel Arias, Taylor Anthony, Victor Hoang
Summary: Achilles tendon ruptures are common injuries with no established gold standard for treatment. Re-rupture rates are relatively low and not directly associated with repair techniques. This article describes a method for treating Achilles tendon re-rupture using tendon transfer and allograft repair.
ARTHROSCOPY TECHNIQUES
(2022)
Article
Orthopedics
Pedro Diniz, Andre Soares Ferreira, Ligia Figueiredo, Jorge Pablo Batista, Nasef Abdelatif, Helder Pereira, Gino M. M. J. Kerkhoffs, Stan N. Finkelstein, Frederico Castelo Ferreira
Summary: This study performed an early cost-effectiveness analysis of endoscopic flexor hallucis longus (FHL) transfer for acute Achilles tendon ruptures and found that the surgical treatment has a moderate likelihood of being cost-effective, with endoscopic FHL transfer showing the highest potential.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
James D. Michelson, Jacob W. Bernknopf, Mark D. Charlson, Stephen J. Merena, Lara M. Stone
Summary: This study investigated the nonoperative treatment of FHL tendonitis and found that 44% of patients opted not to have surgery. Factors such as clinical hallux rigidus or posteromedial ankle pain were associated with a higher likelihood of surgery, while completing an FHL stretching program was associated with a lower likelihood of surgery.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2021)
Article
Orthopedics
Kento Hirota, Kota Watanabe, Atsushi Teramoto, Yuki Saito, Masaki Katayose
Summary: The study found a relationship between the number of FHL tendinous slips and toe flexor strength, with feet lacking FHL branching showing significantly lower strength in the third toe. Therefore, considering the number of FHL tendinous slips in an individual foot may have clinical implications for toe flexor rehabilitation or training.
FOOT AND ANKLE SURGERY
(2021)
Article
Orthopedics
Jungtae Ahn, Bi O. Jeong
Summary: This study retrospectively analyzed the clinical outcomes and sports activity levels of patients who underwent FHL transfer for neglected ATR. The results showed favorable midterm outcomes for FHL transfer in the treatment of neglected ATR, but some patients had lower sports activity levels after the procedure.
JOURNAL OF FOOT & ANKLE SURGERY
(2022)
Article
Surgery
Madhu Periasamy, Vamseedharan Muthukumar, P. I. Febin Ahamed, V. Ajeer Ahammed, Hari Venkatramani, S. Raja Sabapathy
Summary: This study investigated the reconstruction of failed Achilles tendon repair using Flexor hallucis longus (FHL) transfer and free Gracilis flap cover. The results showed that all six patients had good gait and achieved satisfactory outcomes in various assessment measures at nine months of follow-up.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Orthopedics
Alexis Thiounn, Pierre Auzias, Alexandre Hardy
Summary: An endoscopic technique using a horizontal calcaneal tunnel for fixation of the flexor hallucis longus (FHL) tendon provides advantages of minimizing approach-related morbidity.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)