Anatomy of master knot of henry: A morphometric study on cadavers

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dc.authorid0000-0003-2537-4976
dc.contributor.authorBeger, Orhan
dc.contributor.authorElvan, Özlem
dc.contributor.authorKeskinbora, Mert
dc.contributor.authorÜn, Burçin
dc.contributor.authorUzmansel, Deniz
dc.contributor.authorKurtoğlu, Zeliha
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:47Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:47Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000433350100010
dc.descriptionPubMed ID: 29366540
dc.description.abstractObjective: The objective of this study was to evaluate the features of flexor hallucis longus (FHL), flexor digitorum longus (FDL) and flexor digitorum accessorius (FDA) muscles with relevance to the tendon grafts and to reveal the location of Master Knot of Henry (MKH). Methods: Twenty feet from ten formalin fixed cadavers were dissected, which were in the inventory of Anatomy Department of Medicine Faculty, Mersin University. The location of MKH was identified. Interconnections of FHL and FDL were categorized. According to incision techniques, lengths of FHL and FDL tendon grafts were measured. Attachment sites of FDA were assessed. Results: MKH was 12.61 +/- 1.11 cm proximal to first interphalangeal joint, 1.75 +/- 0.39 cm below to navicular tuberosity and 5.93 +/- 0.74cm distal to medial malleolus. The connections of FHL and FDL were classified in 7 types. Tendon graft lengths of FDL according to medial and plantar approaches were 6.14 +/- 0.60cm and 9.37 +/- 0.77cm, respectively. Tendon graft lengths of FHL according to single, double and minimal invasive incision techniques were 5.75 +/- 0.63cm, 7.03 +/- 0.86cm and 20.22 +/- 1.32 cm, respectively. FDA was found to be inserting to FHL slips in all cases and it inserted to various surfaces of FDL. Conclusion: The exact location of MKH and slips was determined. Two new connections not recorded in literature were found. It was observed that the main attachment site of FDA was the FHL slips. The surgical awareness of connections between the FHL, FDL and FDA, which participated in the formation of long flexor tendons of toes, could be important for reducing possible loss of function after tendon transfers postoperatively.
dc.identifier.citationBeger, O., Elvan, Ö., Keskinbora, M., Ün, B., Uzmansel, D. ve Kurtoglu, Z. (2018). Anatomy of master knot of henry: A morphometric study on cadavers. Acta Orthopaedica et Traumatologica Turcica, 52(2), 134-142. https://dx.doi.org/10.1016/j.aott.2018.01.001
dc.identifier.doi10.1016/j.aott.2018.01.001
dc.identifier.endpage142
dc.identifier.issn1017-995X
dc.identifier.issue2
dc.identifier.scopusqualityQ3
dc.identifier.startpage134
dc.identifier.urihttps://dx.doi.org/10.1016/j.aott.2018.01.001
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2073
dc.identifier.volume52
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Association of Orthopedics and Traumatology
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectFlexor Hallucis Longus
dc.subjectFlexor Digitorum Longus
dc.subjectFlexor Digitorum Accessorius
dc.subjectMaster Knot of Henry
dc.subjectSlip
dc.subjectTendon Transfer
dc.titleAnatomy of master knot of henry: A morphometric study on cadavers
dc.typeArticle

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