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Anatomical Study of the Tibialis Posterior Tendon's Connections to the Plantar Muscles and Its Relationship With the Severity of Hallux Valgus1
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episeptal and interlaminar fascial tunnels1
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hallux valgus of the nerves around the first metatarsal bone1
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navicular tuberosity and tibialis posterior tendon1
Description of the episeptal and interlaminar fascial tunnels for the superficial fibular nerve and its terminal branches.
KESİLMİŞ İNCİ | KURTOĞLU OLGUNUS ZELİHA
Purpose This study aimed to reveal the course of the superficial fibular nerve and its branches, whose entrapment may be responsible for anterior leg pain and is at risk in fasciotomies, according to the crural fascia laminae and the anterior inter muscular septum. Methods On the twenty cadaver legs, the location of the superficial fibular nerve and its branches, according to the crural fascia layers and anterior intermuscular septum, the course type in the tunnel, if any, and the superficialization pattern were defined. Results The number of cases in which the superficial fibular nerve and its branches traveled within a tunnel was found to be 15/20 (75%). The superficial fibular tunnel was defined as an “episeptal” and “interlaminar fascial” tunnel based on the nerve’s relati...
The effect of hallux valgus on the anatomy of the nerves around the first metatarsal bone
Kurtoğlu Olgunus, Zeliha
Objective To identify the variations in the location of the nerves that may be at risk in hallux valgus (HV) surgery, and to reveal whether these nerves are affected by the anatomical changes associated with HV. Method In the formalin fixed, 46 lower extremities (19 female, 27 male) (9 normal, 14 mild HV, 21 moderate/severe HV), extensor hallucis longus tendon (EHL), deep plantar artery, medial dorsal cutaneous (MDCN), deep fibular (DFN), common plantar digital (CPDN) and proper plantar digital (PPDN) nerves were examined. The branches of MDCN extending to the medial side of foot were recorded in three segments. The positional topography of nerves according to EHL were analyzed on 360° circle and clock models. Results Sex-related differences observed in some parameters in direct measurem...
Anatomical Study of the Tibialis Posterior Tendon's Connections to the Plantar Muscles and Its Relationship With the Severity of Hallux Valgus
Kurtoğlu Olgunus Zeliha | Örs Alev Bobuş
Changes in tendon morphometry around first-row bones are linked to the hallux valgus (HV) development. However, there are very limited studies examining the relationship between the connection status of the tibialis posterior (TP) tendon to the adductor hallucis (ADH) and flexor hallucis brevis (FHB) tendons and the development of HV. This study aimed to investigate the association between these tendon connections and the occurrence of HV. The study included 24 formalin-fixed adult cadavers and amputee feet (10 female, 14 male). The attachment sites and connections between the ADH, FHB, and TP tendons were recorded. Feet were classified into three groups: no connection between the three tendons (Group I), connection between TP and FHB (Group II), and connection between TP, FHB, and ADH (Gr...
Evaluation of the relationship of navicular tuberosity and tibialis posterior tendon with medial longitudinal arch.
BOBUŞ, ÖRS ALEV | KURTOĞLU OLGUNUS, ZELİHA
Background: Although it is suggested that the morphometry of the medial protrusion of tuberosity of navicular bone (TNm) and tibialis posterior (TP) tendons is related to this pathology, there is insufficient evidence. This study aimed to reveal the relations of the medial longitudinal arch (MLA) with the tendons of the TP and the TNm. Materials and methods: Dissections of this study were performed on the dorsal and plantar aspects of 34 formalin- fixed cadavers and amputated feet (15 female, 19 male). All attachment sites and connections of the main TP (TPmt) and slips are evaluated and classified. Morphometric measurements of TNm and all tendon slips were performed. Feet were assessed for pes planus (PP) presence using the navicular index and the first metatarsal- calcaneus angle and gr...