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Review Question - QID 129

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QID 129 (Type "129" in App Search)
When harvesting flexor digitorum longus (FDL) for a tendon transfer for stage II posterior tibialis tendon dysfunction, what anatomic structure crosses immediately deep (dorsal) to it in the midfoot region?

Achilles tendon

0%

4/2908

flexor hallucis brevis (FHB)

10%

292/2908

adductor hallucis

6%

168/2908

flexor hallucis longus (FHL)

80%

2331/2908

abductor hallucis

4%

103/2908

Select Answer to see Preferred Response

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In the midfoot the flexor hallucis longus (FHL) is dorsal to the flexor digitorum longus (FDL) just distal to the master knot of Henry.

When the FDL and FHL are in the ankle, the FDL is anterior to the FHL ("Tom, Dick and Harry"). However they cross each other at the Knot of Henry, where the FHL runs above or dorsal to the FDL.

Illustration A shows the relative position of FDL to FHL at the ankle and plantar aspect of the foot. Illustration B shows the relative position of FHL to FDL from a plantar view of the foot Illustration V reviews the anatomy of the plantar surface of the foot, and at 56 seconds demonstrates the relative position of FHL to FDL.

Wrong Answers:
Answer 1: The Achilles tendon should not be seen in a harvest exposure.
Answer 2: The FHB is anterior and slightly lateral to the FHL.
Answer 3: Adductor hallucis crosses too distal for harvest.
Answer 5: Abductor hallucis never crosses the FDL.

ILLUSTRATIONS:
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