Knot of Henry: Role in Tendon Transfer
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 12
Abstract
The term “Master knot of Henry” refers to the site of cross connections between long (extrinsic) tendons of foot namely Flexor Digitorum Longus Tendon (FDLT) and Flexor Hallucis Longus Tendon (FHLT). This chiasmatic structure in the second layer of sole, was first described by Henry in 1940. Over the years it has gained importance because of its close association with surgical procedures such as ‘Tendon Transfers’, whereby insertion of a muscle-tendon unit is relocated at another site for restoration of lost function. The demand for these surgical procedures is constantly increasing in parallel with increasing number of irreparable nerve injuries, spinal cord injuries and road traffic accidents etc. Both FDLT and FHLT are identified as potential tendon transfer candidates and variations of cross connections between FDLT and FHLT at Henry’s knot have been reported. In the majority of cases, slips proceeding from FHLT to FDLT have been observed. However, we observed the presence of two variant tendinous slips extending from the FDLT to FHLT, one lying proximal and the other distal to the chiasmatic crossover, in left foot of a male cadaver. Awareness regarding possible variations with context to the cross pattern at the knot could be the determining factor in deciding about the preferential tendon transfer candidate with maximal preservation of functioning of hallux as well as other little digits.
Authors and Affiliations
Parul Kaushal, Aritra Banerjee, Pushpa Dhar
Keywords
Related Articles
- EP ID EP367369
- DOI 10.7860/JCDR/2017/30192.10974
- Views 34
- Downloads 0
Hypovitaminosis D is Associated with Gestational Diabetes Mellitus
Introduction: Vitamin D deficiency has been shown to cause expression of insulin gene resulting in high insulin synthesis and secretion. It also decreases insulin resistance, thus affecting abnormal glucose metabolism an...
Effect of Pranayama on Ppar-γ, NfκB Expressions and Red Complex Microorganisms in Patients with Chronic Periodontitis – A Clinical Trial
Introduction: Sudarshankriya pranayama is the control of breathing movements to regulate the energy flow throughout the body, which has shown to positively affect immune function, autonomic nervous system and psychologic...
Cutaneous Correlates of Metabolic Syndrome and Its Components In Ogbomoso, Nigeria
ABSTRACT Introduction: Metabolic syndrome (MetS) has been associated with some skin disorders including psoriasis, acne vulgaris, hidradenitis suppurativa, androgenetic alopecia, atopic dermatitis and many others. Althou...
Microfilariae of Wuchereria bancrofti in Testicular Aspirate
Present study deals with results of fine needle aspiration of both the testes in a patient with azoospermia. Surprisingly, aspiration of right testis revealed large number of microfilariae in the smears. Conversely, left...
Pyridoxine: The ‘Ba.Six’ of use in Nausea and Vomiting of Pregnancy
ABSTRACT Over the centuries, the dietary and biochemical essentiality of pyridoxine in the humans has been well established. Apart from various physiological functions, pyridoxine is therapeutically important in Nausea a...