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Coexistence of accessory band with the second type of extensor hallucis longus

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Abstract

The main muscles responsible for extension of the toes are the extensor digitorum longus and extensor hallucis longus. Morphological variants of both of these muscles are mostly related to the numbers of tendons and their unusual points of insertion. The case presented shows an accessory band deriving from the extensor digitorum longus and fusing with the extensor hallucis longus, a concomitant additional tendon of the latter inserting to the proximal phalanx of the hallux. Knowledge of these anatomical patterns is important not only from the anatomical but also the clinical point of view and can be useful in lower limb surgery.

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Please contact authors for data requests (Łukasz Olewnik, Ph.D.—email address: lukasz.olewnik@umed.lodz.pl).

References

  1. Banerje A, Singh S, Raza K, Rani N, Kaler S (2016) Unilateral variation in extensor digitorum longus muscle. Clin Ter 167:150–151. https://doi.org/10.7417/CT.2016.1946

    Article  CAS  PubMed  Google Scholar 

  2. Boyd N, Brock H, Meier A, Miller R, Mlady G, Firoozbakhsh K (2006) Extensor hallucis capsularis: frequency and identification on MRI. Foot Ankle Int 27:181–184. https://doi.org/10.1177/107110070602700305

    Article  PubMed  Google Scholar 

  3. Egea JM, Cabeza L, Ortiz R, Rama AR, Melguizo C, Prados J (2019) Double origin of the extensor hallucis longus muscle: a case report. Surg Radiol Anat 41:1421–1423. https://doi.org/10.1007/s00276-019-02309-5

    Article  PubMed  Google Scholar 

  4. Elgafy H, Ebraheim NA, Shaheen PE, Yeasting RA (2002) Extensor hallucis longus innervation: an anatomic study. Clin Orthop Relat Res 398:245–251. https://doi.org/10.1097/00003086-200205000-00034

    Article  Google Scholar 

  5. Gruber W (1875) Über die varietäten des musculus extensor hallucis longus. Arch Anat Physiol Wissen Med 1875:565–589

    Google Scholar 

  6. Hill RV, Gerges L (2008) Unusual accessory tendon connecting the hallucal extensors. Anat Sci Int 83:298–300. https://doi.org/10.1111/j.1447-073X.2008.00229.x

    Article  PubMed  Google Scholar 

  7. Karauda P, Shane Tubbs R, Polguj M, Olewnik Ł (2021) Morphological variability of the extensor hallucis longus in human fetuses. Ann Anat 234:151627. https://doi.org/10.1016/j.aanat.2020.151627

    Article  PubMed  Google Scholar 

  8. Kelikian AS, Sarrafian SK (2011) Sarrafian’s anatomy of the foot and ankle: descriptive, topographic, functional. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  9. Lai K-C, Tan H-W, Chen L-J, Liu P-H, Tseng G-F, Ho H-C (2021) Characteristics of the accessory tendon of the extensor hallucis longus muscle: a Taiwanese study. Surg Radiol Anat 43:1053–1059. https://doi.org/10.1007/s00276-020-02648-8

    Article  PubMed  Google Scholar 

  10. Natsis K, Konstantinidis GA, Symeonidis PD, Totlis T, Anastasopoulos N, Stavrou P (2017) The accessory tendon of extensor hallucis longus muscle and its correlation to hallux valgus deformity: a cadaveric study. Surg Radiol Anat 39:1343–1347. https://doi.org/10.1007/s00276-017-1881-4

    Article  CAS  PubMed  Google Scholar 

  11. Olewnik Ł (2019) Fibularis tertius: anatomical study and review of the literature. Clin Anat 32:1082–1093. https://doi.org/10.1002/ca.23449

    Article  PubMed  Google Scholar 

  12. Olewnik Ł, Podgórski M, Polguj M, Ruzik K, Topol M (2019) A cadaveric study of the morphology of the extensor hallucis longus—a proposal for a new classification. BMC Musculoskelet Disord 20:1–2. https://doi.org/10.1186/s12891-019-2688-8

    Article  Google Scholar 

  13. Park J-H, Choi Y-J, Park K-R, Kim D, Kwon H-W, Lee M, Cho J (2021) Independent muscle of extensor hallucis capsularis: a cadaveric case report. Surg Radiol Anat 43:1041–1044. https://doi.org/10.1007/s00276-020-02592-7

    Article  PubMed  Google Scholar 

  14. Ruzik K, Westrych K, Tubbs RS, Olewnik Ł, Łabętowicz P, Zielinska N (2022) Case report of the double headed extensor hallucis longus. Folia Morphol (Warsz). https://doi.org/10.5603/FM.a2022.0018

    Article  Google Scholar 

  15. Sakuma E, Kato H, Honda N, Mabuchi Y, Soji T (2004) A rare anomaly of the extensor digitorum longus. Anat Sci Int 79:235–238. https://doi.org/10.1111/j.1447-073x.2004.00082.x

    Article  PubMed  Google Scholar 

  16. Standring S (2021) Gray’s anatomy: the anatomical basis of clinical practice. Elsevier Health Sciences, New York

    Google Scholar 

  17. Testut L (1884) Les Anomalies musculaires chez l’homme expliquées par anatomie comparée, importance en anthropologie. Masson, Paris

    Book  Google Scholar 

  18. Tezer M, Cicekcibasi AE (2012) A variation of the extensor hallucis longus muscle (accessory extensor digiti secundus muscle). Anat Sci Int 87:111–114. https://doi.org/10.1007/s12565-011-0108-8

    Article  PubMed  Google Scholar 

  19. Tubbs RS, Shoja MM, Loukas M (2016) Bergman’s comprehensive encyclopedia of human anatomic variation. Wiley, Hoboken

    Book  Google Scholar 

  20. Zdilla MJ, Paulet JE, Lear JJ, Addie KM, Lambert HW (2018) A review of extensor hallucis longus variants featuring a novel extensor primi internodii hallucis muscle merging with extensor hallucis brevis. J Foot Ankle Surg 57:1218–1220. https://doi.org/10.1053/j.jfas.2018.03.031

    Article  PubMed  PubMed Central  Google Scholar 

  21. Zielinska N, Tubbs RS, Ruzik K, Olewnik Ł (2021) Classifications of the extensor hallucis longus tendon variations: updated and comprehensive narrative review. Ann Anat Anat Anz 238:151762. https://doi.org/10.1016/j.aanat.2021.151762

    Article  Google Scholar 

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Acknowledgements

The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed.

Funding

The authors have no financial or personal relationship with any third party whose interests could be influenced positively or negatively by the article’s content. This research received no specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland

    Andrzej Węgiel, Nicol Zielinska & Łukasz Olewnik

  2. Department of Anatomical Sciences, St. George’s University, Grenada, USA

    R. Shane Tubbs

  3. Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA

    R. Shane Tubbs & Joe Iwanaga

  4. Department of Neurology, Tulane University School of Medicine, New Orleans, LA, USA

    R. Shane Tubbs & Joe Iwanaga

  5. Department of Structural and Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA

    R. Shane Tubbs

  6. Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA

    R. Shane Tubbs

  7. Department of Neurosurgery, Ochsner Medical Center, New Orleans, LA, USA

    R. Shane Tubbs

Authors
  1. Andrzej Węgiel
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  2. Nicol Zielinska
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  3. R. Shane Tubbs
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  4. Joe Iwanaga
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  5. Łukasz Olewnik
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Contributions

AW (student)—project development, data collection, data analysis, manuscript writing. NZ (student)—photo, data analysis, manuscript editing. RST (MD, Ph.D.)—data analysis and manuscript editing. JI (MD, Ph.D.)—professor—data analysis and manuscript editing. ŁO (D.P.T, Ph.D.)—associate professor—photo, data analysis, manuscript editing.

Corresponding author

Correspondence to Łukasz Olewnik.

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The authors declare no competing interests.

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The authors declare that they have no competing interests.

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The study protocol was accepted by the Bioethics Committee of the Medical University of Lodz. The cadavers were the property of the Department of Anatomical Dissection and Donation, Medical University of Lodz. Informed consents were obtained from all participants before they died.

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Węgiel, A., Zielinska, N., Tubbs, R.S. et al. Coexistence of accessory band with the second type of extensor hallucis longus. Surg Radiol Anat 44, 845–849 (2022). https://doi.org/10.1007/s00276-022-02966-z

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  • DOI: https://doi.org/10.1007/s00276-022-02966-z

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