M. Praveen Shenoy, Mangala M. Pai, B.V. Murlimanju, Rajanigandha Vadgaonkar, Latha V. Prabhu, M.D. Prameela
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引用次数: 0
Abstract
Background
The facial condensation of deep fascia form retinacula, Superior and Inferior, with a primary function to hold the extensor tendons of the foot in position. The morphology of inferior extensor retinaculum (IER) is clinically important in the tendon rupture repair and foot drop surgeries. The anatomy of ankle and foot IER is not much investigated and this prompted us to conceptualize this study to investigate the morphology and morphological variants of IER.
Methods
This descriptive, cross-sectional institutional based study included 50 dorsa of feet from the 25 embalmed adult cadavers.
Results
The present study observed that, the anatomy of IER is complex wherein multiple septa of varied thickness arise from its undersurface from both the stem and limbs, defining its compartments. Five well defined compartments existed, which lodged the extensor tendons. The third compartment was deep and overlapped by the extensor digitorum longus tendons. Fourth compartment was well defined and lodged the extensor digitorum longus and peroneus tertius tendons, separated by an ill-defined septum. However, in 6 specimens (12 %), the peroneus tertius traversed the fifth compartment, which otherwise did not have any contents. Some morphological variants of the tendons were also noted as they passed beneath the IER.
Conclusion
Our study is novel in determining the compartment format, deeper connections of IER, and relations with deeper structures along with the anatomical variations, which are clinically important in ankle arthroscopy, tendinoscopy, tendon repairs and foot drop stabilization surgeries.
期刊介绍:
Translational Research in Anatomy is an international peer-reviewed and open access journal that publishes high-quality original papers. Focusing on translational research, the journal aims to disseminate the knowledge that is gained in the basic science of anatomy and to apply it to the diagnosis and treatment of human pathology in order to improve individual patient well-being. Topics published in Translational Research in Anatomy include anatomy in all of its aspects, especially those that have application to other scientific disciplines including the health sciences: • gross anatomy • neuroanatomy • histology • immunohistochemistry • comparative anatomy • embryology • molecular biology • microscopic anatomy • forensics • imaging/radiology • medical education Priority will be given to studies that clearly articulate their relevance to the broader aspects of anatomy and how they can impact patient care.Strengthening the ties between morphological research and medicine will foster collaboration between anatomists and physicians. Therefore, Translational Research in Anatomy will serve as a platform for communication and understanding between the disciplines of anatomy and medicine and will aid in the dissemination of anatomical research. The journal accepts the following article types: 1. Review articles 2. Original research papers 3. New state-of-the-art methods of research in the field of anatomy including imaging, dissection methods, medical devices and quantitation 4. Education papers (teaching technologies/methods in medical education in anatomy) 5. Commentaries 6. Letters to the Editor 7. Selected conference papers 8. Case Reports