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Diseases of the Peripheral Nerve and Mononeuropathies
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Diana Mnatsakanova, Charles K. Abrams
Deep peroneal nerve involvement – motor: Foot drop or dorsiflexion weakness (tibialis anterior muscle innervated by deep peroneal nerve) producing a steppage gait. Family members often report the sound of the patient's foot ‘slapping’ on the ground.Weakness of toe extension (extensor digitorum longus and brevis and extensor hallucis longus innervated by deep peroneal nerve).
Lower limb
Published in David Heylings, Stephen Carmichael, Samuel Leinster, Janak Saada, Bari M. Logan, Ralph T. Hutchings, McMinn’s Concise Human Anatomy, 2017
David Heylings, Stephen Carmichael, Samuel Leinster, Janak Saada, Bari M. Logan, Ralph T. Hutchings
Anterior tibial artery - runs superior to the interosseous membrane to lie between the extensor muscles of the anterior leg. At the ankle it lies between the tendons of extensor hallucis longus medially and extensor digitorum longus laterally. As the anterior tibial artery passes across the ankle joint it changes its name to the dorsalis pedis artery (Fig.8.13 A). Its metatarsal branches provide dorsal digital vessels for the sides of the toes.
The Foot
Published in Gene L. Colborn, David B. Lause, Musculoskeletal Anatomy, 2009
Gene L. Colborn, David B. Lause
In addition to extending the great toe, the extensor hallucis longus dorsiflexes and inverts the foot. The extensor digitorum longus muscle extends the lateral toes, but also - with the peroneus tertius - dorsiflexes and everts the foot.
Pioglitazone improves skeletal muscle functions in reserpine-induced fibromyalgia rat model
Published in Annals of Medicine, 2021
Fatma E. Hassan, Hader I. Sakr, Passant M. Mohie, Howayda Saeed Suliman, Ayman Saber Mohamed, Mohamed H. Attia, Dalia M. Eid
The proximal tendon of the extensor digitorum longus (EDL) muscle was dissected from the femoral compartment of the hind limb. The anterior crural compartment was exposed by dissecting the biceps femoris. The distal tendons of EDL were dissected out intact from the foot through distal fasciotomy, with the removal of connective tissue and ligaments. The entire EDL muscle was mounted on a 25ml organ bath system (Harvard Apparatus, Holliston, MA), containing Krebs-Ringer bicarbonate buffer that was continuously bubbled with a mixture of 95% oxygen (O2) and 5% CO2, and kept at 30 °C. The four distal EDL tendons were tied together by non-absorbable surgical silk suture and fixed to a support. The proximal tendon was tied to the force transducer [21], the latter of which was connected to iWorx advanced animal/human physiology data acquisition unit AHK/214 (Harvard Apparatus).
A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis
Published in Modern Rheumatology Case Reports, 2020
Yuki Etani, Kosuke Ebina, Makoto Hirao, Akira Miyama, Jun Hashimoto, Takaaki Noguchi, Gensuke Okamura, Kenji Takami, Hideki Yoshikawa
Previous report demonstrated that there was no significant difference in clinical outcomes between operative and non-surgical treatment in TA tendon ruptures, although elderly low-demand patients tended to be treated non-surgically and young active patients tended to be treated operatively [8]. This may be partially due to the compensation of other extensors such as EHL or extensor digitorum longus. These muscles arise from proximal fibula, tibia or interosseous membrane, and are inserted into phalanges. The contraction of these muscles leads to ankle dorsiflexion. However, recent report showed that surgical intervention provides better functional outcomes than conservative management, although even surgical treatment is sometimes associated with mild dorsiflexory weakness [9]. Taken together, TA resection may be considered as final salvage treatment of low-demand elderly patients with high risk of delayed wound healing such as RA, but not for young active patients.
Great toe drop following knee ligament reconstruction: A case report
Published in Physiotherapy Theory and Practice, 2020
David A Boyce, Chantal Prewitt
The EMG/NCS report was sent to the treating orthopedist who met with the patient and suggested a “wait and see approach” for 9–12 months postonset of the great toe drop to determine if left fibular nerve injury would heal over time. The physician informed the patient if the great toe drop persisted beyond 12 months, a tendon transfer procedure could help with recovery of volitional great toe extension. The procedure would consist of transferring and attaching the EHL tendon to the common tendon of the extensor digitorum longus (EDL), which would allow simultaneously extension of all five toes (Singh and Singh, 2010). The patient agreed with the orthopedist’s recommendations and continued with his ACL reconstruction rehabilitation with the attending physical therapist.