Turan Koç, Zeliha Kurtoğlu Olgunus, Fatih Çiçek, Alev Bobuş Örs
{"title":"胫骨后腱与足底肌连接的解剖学研究及其与拇外翻严重程度的关系。","authors":"Turan Koç, Zeliha Kurtoğlu Olgunus, Fatih Çiçek, Alev Bobuş Örs","doi":"10.1002/jfa2.70074","DOIUrl":null,"url":null,"abstract":"<p><p>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 (Group III). HV angle values and subgroups (normal, mild, and moderate-severe) were defined to assess the degree of HV. Feet were grouped based on tendon attachment status, and the distribution of HV subgroups was statistically analyzed. HV angles in Group III were significantly larger than in Groups I and II (= 0.000, p = 0.024). While tendon connection was detected in only 20% (1/5) of feet without HV, tendon connection was detected in 64% (7/11) of mild HV and in all feet with moderate-severe HV. HV occurred in 93.8% (15/16) of feet with tendon connections (vs. 50% without). The study revealed that HV can develop in feet with and without tendon attachments. However, HV is more frequent in cases where the TP tendon is attached to the FHB and ADH tendons. Additionally, moderate-severe HV increases when TP is attached to ADH.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 3","pages":"e70074"},"PeriodicalIF":2.2000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350190/pdf/","citationCount":"0","resultStr":"{\"title\":\"Anatomical Study of the Tibialis Posterior Tendon's Connections to the Plantar Muscles and Its Relationship With the Severity of Hallux Valgus.\",\"authors\":\"Turan Koç, Zeliha Kurtoğlu Olgunus, Fatih Çiçek, Alev Bobuş Örs\",\"doi\":\"10.1002/jfa2.70074\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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 (Group III). HV angle values and subgroups (normal, mild, and moderate-severe) were defined to assess the degree of HV. Feet were grouped based on tendon attachment status, and the distribution of HV subgroups was statistically analyzed. HV angles in Group III were significantly larger than in Groups I and II (= 0.000, p = 0.024). While tendon connection was detected in only 20% (1/5) of feet without HV, tendon connection was detected in 64% (7/11) of mild HV and in all feet with moderate-severe HV. HV occurred in 93.8% (15/16) of feet with tendon connections (vs. 50% without). The study revealed that HV can develop in feet with and without tendon attachments. However, HV is more frequent in cases where the TP tendon is attached to the FHB and ADH tendons. 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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 Valgus.
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 (Group III). HV angle values and subgroups (normal, mild, and moderate-severe) were defined to assess the degree of HV. Feet were grouped based on tendon attachment status, and the distribution of HV subgroups was statistically analyzed. HV angles in Group III were significantly larger than in Groups I and II (= 0.000, p = 0.024). While tendon connection was detected in only 20% (1/5) of feet without HV, tendon connection was detected in 64% (7/11) of mild HV and in all feet with moderate-severe HV. HV occurred in 93.8% (15/16) of feet with tendon connections (vs. 50% without). The study revealed that HV can develop in feet with and without tendon attachments. However, HV is more frequent in cases where the TP tendon is attached to the FHB and ADH tendons. Additionally, moderate-severe HV increases when TP is attached to ADH.
期刊介绍:
Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders.
Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care.
The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care.
The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.