The flexor of the big toe is long. Long extensor and flexor of the big toe. Symptoms of flexor hallucis longus tendon injury

Flexor tendon injury thumb feet are a common type of injury in risk groups such as dancers (especially ballet dancers), gymnasts and rock climbers. These groups of people are united by a significant overload of the flexor of the big toe when performing pushes and holds, standing on pointe shoes. The second name of this pathology is "dancer's tendinitis". In the rest of the population, these lesions are extremely rare. As the flexor hallucis longus tendon runs in the fibroosseous canal behind the medial malleolus and ankle joint, it appears to be slung over the posterior process of the talus like a rope slung over a pulley.

With its chronic traumatization, degenerative changes lead to its thickening and compaction, causing its compression and infringement. A so-called posterior ankle impingement may occur. If nodules appear in the thickness of the tendon, a symptom such as a “trigger finger” may appear, when the thumb “snaps” when bent, and it can be straightened only through pain and with considerable effort. With a long-term process, a cicatricial fusion of the tendon with its canal is possible, which leads to a pseudo-rigid deformity of the first metatarsophalangeal joint.

Symptoms of damage to the tendon of the long flexor of the big toe.

First of all, it is pain along the posterior-inner surface of the ankle joint. It is possible to "snap" the thumb when it is bent. Crunch, crepitus on the posterior-inner surface of the ankle joint during active movements. On physical examination, pain is determined when the thumb is flexed through resistance, with forced plantar flexion in the ankle joint, while pain is absent in the region of the first metatarsophalangeal joint. To diagnose damage to the tendon of the long flexor of the big toe, it is advisable to perform MRI, which reveals the accumulation of fluid around the tendon at the level of the ankle joint, a change in the signal from the tendon itself.

Differential diagnosis of tendonitis of the long flexor tendon of the big toe is carried out with tendonitis of the peroneal muscles, fracture of the posterior process of the talus, posterior talocalcaneal coalition, osteoid osteoma of the talus and calcaneus.

With ruptures of the tendon of the long flexor of the thumb, in addition to acute pain and swelling along the posterior-inner surface of the ankle joint, a pronounced weakness of the plantar flexion of the big toe is determined.

Treatment of injuries of the long flexor of the big toe.

For acute ruptures, emergency surgical recovery tendon integrity in the group professional athletes and dancers. For a simple layman, surgical treatment is recommended only in case of damage to the tendons of both the short and long flexors of the big toe.

In case of tendonitis of the flexor tendon of the thumb, conservative treatment is recommended - rest, local cold, physiotherapy, stretch exercises. In addition, it is recommended to change the approach to training, pay more attention to warming up and stretching, wearing insoles and shoes with good arch support.

If these measures are ineffective for 3 months, the question of surgical treatment arises. The tendon is released, freed from adhesions, degenerated areas are removed, and synovectomy is performed. If an additional triangular bone is identified, it is advisable to remove it.

Surgical technique for tendonitis of the long flexor of the big toe.

A tourniquet is recommended for good visualization. A semicircular incision is made parallel to the posterior edge of the medial malleolus. It is necessary to carefully isolate the neurovascular bundle and take it on a holder. Access to the tendon canal can be carried out both in front and behind in relation to the bundle. At this stage, it is possible to isolate the tendon, after its thorough examination and palpation, all nodes and adhesions are removed. If a triangular bone is found, it must be removed.

Removal of the triangular bone significantly lengthens the rehabilitation period. After isolated tenolysis of the tendon of the long flexor of the thumb, weight-bearing and walking are allowed immediately as the pain subsides. After removal of the triangular bone, it may require up to 8-12 weeks of walking without weight bearing.

  • BENDER in Medical terms:
    (musculus flexor; syn. flexor) a muscle, during the contraction of which any part is bent ...
  • LONG in the Encyclopedic Dictionary:
    , -th, -th; -nen, -nna, -nno and -nno. 1. Having a great length, stretch. D. sleeve. D. lane. D. guy (very…
  • BENDER
    fold "tel, fold" tel, fold "tel, fold" tel, fold "tel, fold" tel, fold "tel, fold" tel, fold "tel, fold" tel, fold "tel, ...
  • LONG in the Full accentuated paradigm according to Zaliznyak:
    long, long, long, long, long, long, long, long, long, long, long, long, long long, long, long, long, long, long, long, long, long, ...
  • LONG in the Popular Explanatory-Encyclopedic Dictionary of the Russian Language:
    -th, -th; for "inen, long" a, for "inno and long" o, for "inna and long" 1) Having a great length, stretch. Long descent. Long lane. Dul ...
  • LONG in the Thesaurus of Russian business vocabulary:
  • LONG in the Russian Thesaurus:
    ‘continuing for a considerable time’ Syn: long, long, long (b.), long-term (of.) Ant: short, short-term, ...
  • LONG in the Dictionary of synonyms of Abramov:
    long, oblong, elongated. Prot. . See tall, long || have long...
  • BENDER
    bender...
  • LONG in the dictionary of Synonyms of the Russian language:
    tall, tall, tall, elongated, longest, longest, longish, long-sleeved, long, long-long, long-long, long, long, long, long, long-term, lanky, long-haired, long-term, protracted, ...
  • FEET
    pl. obsolete Steps, …
  • BENDER in the New explanatory and derivational dictionary of the Russian language Efremova:
    m. The muscle that flexes ...
  • LONG in the New explanatory and derivational dictionary of the Russian language Efremova:
    adj. 1) a) Having a great length, length (opposite: short). b) unfold High (of a person). c) trans. unfold Spacious, detailed, wordy. …
  • BENDER
    flexor, ...
  • LONG in the Dictionary of the Russian Language Lopatin:
  • BENDER in the Complete Spelling Dictionary of the Russian Language:
    bender...
  • BENDER in the Spelling Dictionary:
    flexor, ...
  • LONG in the Spelling Dictionary:
    long; cr. f. length, length, ...
  • LONG in the Dictionary of the Russian Language Ozhegov:
    longer than needed Sleeves are too long. The skirt is long. long == long D. break. Long journey. long having a great length, ...
  • BENDER
    flexor, m. (anat.). The muscle that flexes the joints is the same as ...
  • LONG in the Explanatory Dictionary of the Russian Language Ushakov:
    long, long; long (long wrong), long, long. 1. Having a great length or stretch, contra. short. Long street. Long fence. Long…
  • FEET
    feet pl. obsolete Steps, …
  • BENDER in the Explanatory Dictionary of Efremova:
    flexor m. The muscle that flexes ...
  • LONG in the Explanatory Dictionary of Efremova:
    long adj. 1) a) Having a great length, length (opposite: short). b) unfold High (of a person). c) trans. unfold Spacious, detailed,…
  • FEET
    pl. obsolete Steps, …
  • BENDER in the New Dictionary of the Russian Language Efremova:
    m. The muscle that flexes ...
  • LONG in the New Dictionary of the Russian Language Efremova:
    adj. 1. Having a great length, length. Ant: short resp. unfold High (of a person). ott. trans. unfold Spacious, detailed, wordy. 2. …
  • FEET
    pl. obsolete Steps, …
  • BENDER in the Big Modern explanatory dictionary Russian language:
    m. The muscle that flexes ...
  • LONG in the Big Modern Explanatory Dictionary of the Russian Language:
    adj. 1. Having a great length, length. Ant: short ott. razg. Tall (about a person). ott. transl. razg. Spacious, ...
  • SHOES in the Encyclopedic Dictionary of Brockhaus and Euphron.
  • SHOES* in the Encyclopedia of Brockhaus and Efron.
  • LONG-LONG in the dictionary of Synonyms of the Russian language:
    long, …
  • FOOT BONE FRACTURE in the Medical Dictionary:
  • FOOT BONE FRACTURE in the Medical Big Dictionary:
    Fracture of the talus - Causes: indirect injury - falling from a height to the legs, sudden braking of the car when the feet rest on it ...
  • THUMB SYMPTOM in Medical terms:
    (syn. ankylosing spondylitis symptom of the thumb) involuntary flexion and adduction of the first finger with passive extension of the bent II - V fingers ...
  • FIFTH TOE FLEXOR, SHORT in Medical terms:
    (m. f. digiti quinti brevis, pedis, bna, jna) see the list of anat. …
  • FIFTH FINGER FLEXOR in Medical terms:
    (m. digiti quinti manus, bna, jna) see the list of anat. terms. …
  • FOREARM flexor, radial in Medical terms:
    (m. antibrachii radialis), see the list of anat. …
  • ELBOW FOREARM flexor in Medical terms:
    (m. antibrachii ulnaris), see the list of anat. …
  • TOE FLEXOR SHORT in Medical terms:
    (m. f. digitorum brevis pedis, pna, bna, jna), see the list of anat. …
  • TOE FLEXOR LONG in Medical terms:
    (m. f. digitorum longus pedis, pna, bna, jna) see the list of anat. …
  • SURFACE FINGER FLEXOR in Medical terms:
    (m. f. digitorum superficialis manus, pna, jna; f. digitorum sublimis, bna) see the list of anat. …
  • DEEP FINGER FLEXOR in Medical terms:
    (m. f. digitorum profundus manus, pna, bna, jna) see the list of anat. …
  • FLEXOR OF THE LITTLE FINGER OF THE BRUSH, SHORT in Medical terms:
    (m. f. digiti minimi brevis manus, pna) see the list of anat. …
  • FLEXOR OF THE SMALL TOE, SHORT in Medical terms:
    (m. f. digiti minimi brevis pedis, pna) see the list of anat. …
  • FLEXOR OF THE BRUSH RADIATION in Medical terms:
    (m. f. manus radialis), see List of anat. …
  • FLEXOR WRIST RADIAL in Medical terms:
    (m. f. carpi radialis, pna, bna, jna), see List of anat. …
  • flexor wrist in Medical terms:
    (m. f. carpi ulnaris, pna, bna, jna) see the list of anat. …
  • ADDITIONAL BENDER in Medical terms:
    (m. f. accessorius, pna) see List of anat. …
  • EXTERNAL CABINET FLEXOR in Medical terms:
    (m. f. cruris externus) see the list of anat. …
  • IRRATIONAL FEET in the Literary Encyclopedia:
    stops of the ancient metric, deviating from their 581 normal duration. In ancient metrics, based on the alternation of long and short syllables, feet, ...

Long finger flexor
Long foot flexor

Long flexors fingers and feet and stress points
Left: flexor digitorum longus
right; foot flexor longus

LONG FLEXERS jointly flex all the toes and foot, helping to maintain balance when the weight of the body is transferred to the forefoot. In addition, they fix the ankles while walking, and are activated while jumping up.

Stress points are formed when running on uneven and soft surfaces and due to poor shoes that do not provide enough support for the foot and ankle. Hard shoes can also cause them. Since both muscles run deep, they are difficult to feel.

Long finger flexor fastened at one end behind tibia, passes deeply under the gastrocnemius and solitary muscles along the entire length of the lower leg from the back side, crosses the talus and is attached at the other ends from the underside of the foot to each of the four small fingers. If points of tension are present in the flexor of the fingers, pain occurs in the sole of the foot and under the toes.

To find points of tension in this muscle, sit on a chair and place the ankle of the affected leg on the knee of the other leg. Locate the sharp projection on the anterior side of the tibia. Run your hand along it towards the back of the lower leg. The flexor digitorum is located 8 cm down from the knee between the tibia and calf muscle. Press on the back of the bone and then on the outside of the lower leg to find the tender spots.

Long foot flexor fastened at one end behind fibula, runs along the back of the lower leg, crosses the talus with inside and is attached from the bottom of the foot to the big toe. If there are points of tension in the flexor of the foot, pain occurs in the big toe and forefoot. When you stand still, the pain gets worse. With the rigidity of this muscle, diseases of the fingers develop.

The foot flexor cannot be directly detected. To find it, you need to deeply probe through a thick single muscle, pressing your thumb on the lower leg at a distance of 2/3 down from the knee joint. The flexor is located there, at the beginning of the Achilles tendon. To find sensitive places in it, press on the outside of the lower leg.

Stretching is very important for relaxing the toe and foot flexors.


Long finger flexor stretch

Stretching: Sit on the floor and stretch your leg forward. Grab your toes and pull towards you. Relax your ankle so that it also flexes as you stretch. Hold this position for 15-20 seconds, repeat the exercise many times a day to achieve complete relaxation.

(m. f. digitorum longus pedis, PNA, BNA, JNA) see the list of anat. terms.

  • - m. flexor digitorum profundus, is a highly developed flat and wide abdomen, originating from the proximal half of the anterior surface of the body of the ulna and the interosseous membrane of the forearm ...

    Atlas of human anatomy

  • - m. flexor pollicis longus, has the appearance of a long unipennate flat muscle lying on the lateral edge of the forearm ...

    Atlas of human anatomy

  • - m. flexor hallucis longus, occupies the most lateral position, located on the back surface and somewhat covering m. tibialis posterior...

    Atlas of human anatomy

  • - m. flexor digitorum longus, occupies the most medial position of all the muscles of this group, located on the posterior surface of the tibia ...

    Atlas of human anatomy

  • - m. flexor hallucis brevis, somewhat shorter than the previous muscle, partially covered by it and located directly on the I metatarsal bone ...

    Atlas of human anatomy

  • - m. flexor digiti minimi brevis, lies medial to the previous muscle and is partially covered by it. Starts from the V metatarsal bone, long plantar ligament and plantar sheath m. peronei longi...

    Atlas of human anatomy

  • - m. flexor digitorum brevis, occupies a median position on the foot, located under the plantar aponeurosis ...

    Atlas of human anatomy

  • - m. flexor digitorum superficialis, covered in front m. palmaris longus and m. flexor carpi radialis, leaving a mark on it in the form of furrows...

    Atlas of human anatomy

  • Big Medical Dictionary

  • - see t. 2 List of anat. terms...

    Big Medical Dictionary

  • - see the list of anat. terms...

    Big Medical Dictionary

  • - see the list of anat. terms...

    Big Medical Dictionary

  • - see the list of anat. terms...

    Big Medical Dictionary

  • - see the list of anat. terms...

    Big Medical Dictionary

  • - see the list of anat. terms...

    Big Medical Dictionary

  • - see the list of anat. terms...

    Big Medical Dictionary

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Long flexor of the big toe

Flexor hallucis longus highlighted in red
Latin name

Musculus flexor hallucis longus

Start
attachment

distal phalanx of the big toe

blood supply

a. tibialis posterior

innervation
Function

flexes the big toe

Catalogs

flexor thumb longus(lat. Musculus flexor hallucis longus ) - muscle of the lower leg of the posterior group.

It occupies the most lateral position, located on the back surface. Covers the posterior tibial muscle (lat. Musculus tibialis posterior) .

Originates from the lower two-thirds of the fibula, interosseous membrane, and posterior intermuscular septum shins. It goes down and goes into a long tendon, which passes under the lat. retinaculum mm. flexorum and passes to the sole, lying in the groove between the talus and calcaneus. At this point, the tendon passes under the tendon of the long flexor of the fingers, giving it part of the fibrous bundles. Then it goes forward and attaches to the base of the distal phalanx of the big toe.

Function

Flexes the thumb, and due to the connection with the tendon of the long flexor of the fingers, it can also act on the II, III and IV fingers. Like the rest back muscles lower leg produces flexion, adduction and supination of the foot. Strengthens the longitudinal arch of the foot.

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