TY - JOUR A1 - Casal, Diogo A1 - Pais, Diogo A1 - Angélica-Almeida, Maria A1 - Bilhim, Tiago A1 - Santos, António A1 - Goyri-O'Neill, João T1 - Morphometric analysis of the extensor tendons of the hallux and potential implications for tendon grafting JO - Eur. J. Anat. SN - 1136-4890 Y1 - 2010 VL - 14 SP - 11 EP - 18 UR - http://www.eurjanat.com/web/paper.php?id=100003dg KW - Extensor hallucis longus KW - Extensor hallucis brevis KW - Variation KW - Tendon injuries KW - Tissue graft N2 - Although several tendon sources are available for reconstructive surgical procedures, all have one or more shortcomings. The aim of this work was to evaluate if the extensor tendons of the hallux showed anatomical characteristics that could make them an additional source for tendon grafting procedures.The authors performed a detailed morphometric analysis of the extensor tendons of the hallux in 26 lower limbs in order to evaluate the putative association of anatomical variants with hallux valgus, and to attempt to assess the feasibility of using part of the extensor apparatus of the hallux as a source of tendon for grafting procedures.An accessory extensor hallucis longus ten-don was found in 92.3% of cases. The extensor hallucis brevis tendon length was 10.5 ± 0.6 cm; its width was 0.5 ± 0.1 cm, and its thickness varied between 1-2 mm, making it a potentially good candidate as a source of ten-don grafts. Several anatomical variations were observed, namely the fusion of the tendons of the extensor hallucis brevis and the accessory extensor hallucis longus muscles in the distal part of the foot.This new therapeutic option, if implemented, would possibly increase the supply of autogenous donor tissue for reconstructive procedures, thereby enhancing the reconstructive surgeonâ??s armamentarium. ER -