scholarly journals The Use of Ultrasonography to Identify the Intersection of the Dorsomedial Cutaneous Nerve of the Hallux and the Extensor Hallucis Longus Tendon: A Cadaveric Study

2018 ◽  
Vol 57 (2) ◽  
pp. 296-300 ◽  
Author(s):  
Matthew J. Zdilla ◽  
Kyle D. Miller ◽  
Jordan V. Swearingen ◽  
H. Wayne Lambert
Keyword(s):  
Cadaveric Study ◽  
Cutaneous Nerve ◽  
Longus Tendon ◽  
Extensor Hallucis Longus

Tibial Cut Accuracy in Mechanically Aligned Total Knee Arthroplasty Using Extensor Hallucis Longus Tendon to Determine Extramedullary Tibial Guide Position

2021 ◽  
Author(s):  
Pablo Besa ◽  
Rafael Vega ◽  
Gerardo Ledermann ◽  
Claudio Calvo ◽  
Manuela Angulo ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Lower Extremity ◽  
Knee Arthroplasty ◽  
Tibial Component ◽  
Anatomical Landmark ◽  
Mechanical Alignment ◽  
Longus Tendon ◽  
Extensor Hallucis Longus ◽  
Tibial Cut ◽  
Total Knee

AbstractThis study aimed to determine the tibial cut (TC) accuracy using extensor hallucis longus (EHL) tendon as an anatomical landmark to position the total knee arthroplasty (TKA) extramedullary tibial guide (EMTG), and its impact on the TKA mechanical alignment (MA). We retrospectively studied 96 TKA, performed by a single surgeon, using a femoral tailored intramedullary guide technique. Seventeen were prior to the use of the EHL and 79 used the EHL tendon to position the EMTG. We analyzed preoperative and postoperative standing total lower extremity radiographs to determine the tibial component angle (TCA) and the correction in MA, comparing pre-EHL use and post-EHL technique incorporation. Mean TCA was 88.89 degrees and postoperative MA was neutral in 81% of patients. Pre- and postoperative MAs were not correlated. As a conclusion of this study, using the EHL provides a safe and easy way to determine the position of EMTG.

Extensor Hallucis Longus Tendon Rupture Repair Using a Fascia Lata Allograft

2002 ◽  
Vol 92 (8) ◽  
pp. 467-470 ◽  
Author(s):  
Lorne A. Zielaskowski ◽  
Jane Pontious
Keyword(s):  
Hallux Valgus ◽  
Tendon Rupture ◽  
Fascia Lata ◽  
Longus Tendon ◽  
Hammer Toe ◽  
Extensor Hallucis Longus

The authors present a case of a traumatic extensor hallucis longus tendon rupture sustained 2 days after hallux valgus and hammer toe correction. The ruptured tendon, separated by a 6-cm defect, was repaired using a fascia lata allograft. This case demonstrates a serious complication of a commonly performed procedure and a salvage technique useful for dealing with large tendon defects. (J Am Podiatr Med Assoc 92(8): 467-470, 2002)

scholarly journals Anatomic relationship of the proximal nail matrix to the extensor hallucis longus tendon insertion

2015 ◽  
Vol 29 (10) ◽  
pp. 1967-1971 ◽  
Author(s):  
P. Palomo López ◽  
R. Becerro de Bengoa Vallejo ◽  
D. López López ◽  
J.C. Prados Frutos ◽  
J. Alfonso Murillo González ◽  
...  
Keyword(s):  
Longus Tendon ◽  
Nail Matrix ◽  
Extensor Hallucis Longus ◽  
Tendon Insertion ◽  
Relationship Of ◽  
Anatomic Relationship

Insertional anatomy of peroneal brevis and longus tendon — A cadaveric study

2019 ◽  
Vol 25 (5) ◽  
pp. 636-639 ◽  
Author(s):  
Maribel da Rocha Gomes ◽  
André Pereira Pinto ◽  
Alírio Arnoldo Fabián ◽  
Tiago José Mota Gomes ◽  
Alfons Navarro ◽  
...  
Keyword(s):  
Cadaveric Study ◽  
Longus Tendon

Percutaneous, Intra-articular, Chevron Osteotomy (PeICO) for the Treatment of Hallux Valgus: A Cadaveric Study

2019 ◽  
Vol 40 (5) ◽  
pp. 586-595 ◽  
Author(s):  
Jorge Javier Del Vecchio ◽  
Mauricio Esteban Ghioldi ◽  
Anuar Emanuel Uzair ◽  
Lucas Nicolás Chemes ◽  
María Cristina Manzanares-Céspedes ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Metatarsophalangeal Joint ◽  
Cadaveric Study ◽  
Percutaneous Surgery ◽  
Lateral Border ◽  
Iatrogenic Injuries ◽  
Orthopedic Surgeons ◽  
Chevron Osteotomy ◽  
Extensor Hallucis Longus ◽  
Fresh Frozen

Background: Percutaneous surgery is experiencing sustained growth based on third-generation techniques. This cadaveric study was designed with the main goal of exploring the risk of iatrogenic tendon and neurovascular lesions and defining the safe zones in a percutaneous, intra-articular, chevron osteotomy (PeICO) procedure, as well as assessing the accuracy of the osteotomy itself. Methods: Eight feet from below-knee fresh-frozen specimens were selected. After the procedure, the specimens were dissected, and structures were inspected for damage. Results: The results of the safety measurements were as follows: (1) distance between portal 1 (P1) and the lateral border of the extensor hallucis longus (EHL) tendon: average 17.6 mm (range 12.7-21.3); (2) distance between P1 and the dorsomedial digital nerve (DMDN): average 7.2 mm (range 1.6-10.4); (3) distance between P1 and the metatarsophalangeal joint: average 15.7 mm (range 9.4-20.5); distance between portal 2 (P2), or the osteosynthesis portal, and the metatarsophalangeal joint: average 25.5 mm (range 22-30.4); distance between P2 and the lateral border of the EHL tendon: average 12.7 mm (range 8-16.7); and distance between P2 and the DMDN: average 4.1 mm (range 1.7-8.2). There were no iatrogenic injuries. The osteotomy angulation in the sagittal plane (reproducibility) average was 85.6 degrees. Conclusion: There were no iatrogenic injuries on this cadaveric study of PeICO. Clinical Relevance: This study will help orthopedic surgeons understand the risks of performing percutaneous surgery by mimicking an accepted open technique (chevron).

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