Flexor hallucis longus tendinous slips and the relationship to toe flexor strength.

Anatomical variation Biomechanics FHL Foot Toe flexor tendon

Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 08 04 2020
revised: 12 10 2020
accepted: 02 11 2020
pubmed: 25 11 2020
medline: 16 12 2021
entrez: 24 11 2020
Statut: ppublish

Résumé

In the general population, the flexor hallucis longus (FHL) often has tendinous slips to lesser toes and the number of FHL slips varies between individuals. The purpose of this study was to investigate the relationship between the number of FHL tendinous slips in an individual foot and its toe flexor strength. Forty healthy men were included in the study. The FHL branch test was used to assess each subject for the number of FHL tendinous slips. Toe flexor strength in each toe was measured using a force gauge. A two-way ANOVA was used to compare toe flexor strength between groups classified according to the number of FHL slips. The group of subjects with FHL branching to the second toe was the most common (20/40). The toe flexor strength ratio of the third toe was significantly lower in feet lacking FHL branching to the third toe than in those feet which did have branching to the third toe (P = 0.005). Toe flexor strength was affected by FHL tendinous slips. Considering the number of the FHL tendinous slips an individual foot has may be useful in clinical practice for rehabilitation or training of toe flexor muscles.

Sections du résumé

BACKGROUND BACKGROUND
In the general population, the flexor hallucis longus (FHL) often has tendinous slips to lesser toes and the number of FHL slips varies between individuals. The purpose of this study was to investigate the relationship between the number of FHL tendinous slips in an individual foot and its toe flexor strength.
METHODS METHODS
Forty healthy men were included in the study. The FHL branch test was used to assess each subject for the number of FHL tendinous slips. Toe flexor strength in each toe was measured using a force gauge. A two-way ANOVA was used to compare toe flexor strength between groups classified according to the number of FHL slips.
RESULTS RESULTS
The group of subjects with FHL branching to the second toe was the most common (20/40). The toe flexor strength ratio of the third toe was significantly lower in feet lacking FHL branching to the third toe than in those feet which did have branching to the third toe (P = 0.005).
CONCLUSIONS CONCLUSIONS
Toe flexor strength was affected by FHL tendinous slips. Considering the number of the FHL tendinous slips an individual foot has may be useful in clinical practice for rehabilitation or training of toe flexor muscles.

Identifiants

pubmed: 33229214
pii: S1268-7731(20)30231-9
doi: 10.1016/j.fas.2020.11.002
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

851-854

Informations de copyright

Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Auteurs

Kento Hirota (K)

Graduate School of Health Science, Sapporo Medical University, Sapporo, Japan. Electronic address: hirotak@sapmed.ac.jp.

Kota Watanabe (K)

Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan.

Atsushi Teramoto (A)

Department of Orthopaedic Surgery, School of Medicine, Sapporo Medical University, Sapporo, Japan.

Yuki Saito (Y)

Department of Anatomy, School of Medicine, Sapporo Medical University, Sapporo, Japan.

Masaki Katayose (M)

Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan.

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