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Erschienen in: Surgical and Radiologic Anatomy 10/2023

08.07.2023 | Original Article

A three-dimensional analysis of the tibialis anterior tendon: emphasizing tendon insertion patterns for effective repair and understanding hallux valgus development

verfasst von: Hyung-Jin Lee, You-Jin Choi

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 10/2023

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Abstract

Purpose

The present study aimed to evaluate the insertion site of the tibialis anterior tendon three-dimensionally.

Methods

Seventy lower limbs were dissected. The tibialis anterior tendon was dissected to verify the insertion site to the medial cuneiform and the base of the first metatarsal bone. The three-dimensional (3D) territory of the tibialis anterior tendon insertion on the medial cuneiform and the first metatarsal bones was measured on a reconstructed 3D model.

Results

The insertion pattern of the tibialis anterior tendon was classified into three types, the most common being Type I: a single tibialis anterior tendon dividing into two equal-sized bands to the medial cuneiform and base of the first metatarsal bone (57.1%, 40/70 of cases). The 3D territory of the tibialis anterior tendon was larger in the plantar aspect than in the medial side of both the medial cuneiform and the base of the first metatarsal bone. The width of the tendon inserted into the medial cuneiform was wider than that inserted into the first metatarsal bone.

Conclusion

The tibialis anterior tendon was more commonly attached to the plantar part than the medial part in both the medial cuneiform and the base of the first metatarsal bone. This anatomical information will help surgeons perform anatomical reconstruction of the tibialis anterior tendon, reduce further tendon damage in the first metatarsocuneiform joint area and also provide valuable knowledge to improve understanding of hallux valgus pathogenesis.
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Metadaten
Titel
A three-dimensional analysis of the tibialis anterior tendon: emphasizing tendon insertion patterns for effective repair and understanding hallux valgus development
verfasst von
Hyung-Jin Lee
You-Jin Choi
Publikationsdatum
08.07.2023
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 10/2023
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-023-03192-x

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