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Claw Toe: Anatomic Guide for Injection of Botulinum Toxin into Foot Muscles
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Claw Toe: Anatomic Guide for Injection of Botulinum Toxin into Foot Muscles

Toru Takekawa , Satoshi Takagi, Tomohide Kitajima, Tomoharu Sato, Kazuo Kinoshita, Masahiro Abo

Can J Neurol Sci. 2022; 49: 102–108

 

¸ñÀû: claw foot deformity¿¡¼­ FDL BoNT ÁÖ»çÄ¡·á°¡ È¿À²ÀÌ ¶³¾îÁö´Â ¹Ù, FDL»Ó ¾Æ´Ï¶ó FHLµµ ÇÔ²² BoNTÁÖ»çÄ¡·áÇÏ´Â °ÍÀÌ ´õ¿í È¿°úÀûÀÏÁö ¾Ë¾Æº»´Ù.

 

¹æ¹ý: claw foot deformityÀÌ ÀÖ´Â ³úÁ¹Áß ÈÄ BoNT·Î Ä¡·á¹ÞÀº 31¸íÀÇ È¯ÀÚ¿¡¼­ FHL°ú FDL ±ÙÀ°¿¡ °¢°¢ Àü±â ÀÚ±Ø µ¿¾È ¹ß°¡¶ô ±¼°î ÆÐÅÏÀÌ °üÂûÇÏ¿´´Ù. ´õºÒ¾î, ´Ù¼¸ »çü¿¬±¸¸¦ ÅëÇØ FHL°ú FDL ÀÇ ÇغÎÇÐÀû ÈûÁÙ ¹è¿­À» È®ÀÎÇÏ¿´´Ù.

 

°á°ú: FHL ±ÙÀ°ÀÇ Àü±â ÀÚ±ØÀº °Ë»çµÈ ¸ðµç 28¿¹¿¡¼­ ¾öÁö¹ß°¡¶ô ±¼°îÀ» À¯¹ßÇÏ¿´À» »Ó ¾Æ´Ï¶ó, 13¿¹¿¡¼­´Â µÎ ¹ø° ¹ß°¡¶ô±îÁö ±¼°îÀÌ, 11¿¹¿¡¼­´Â ¼¼¹ø° ¹ß°¡¶ô±îÁö ±¼°îÀÌ, 1¿¹¿¡°Í ³×¹ø° ¹ß°¡¶ô±îÁö ±¼°îÀÌ À¯¹ßÇÏ¿´´Ù. ´ÜÁö 3¿¹¿¡¼­ ¾öÁö¹ß°¡¶ô ±¼°î¸¸ À¯¹ßµÇ¾ú´Ù. 29¸íÀÇ È¯ÀÚ¿¡¼­ FDL ±ÙÀ° Àü±â ÀÚ±ØÀº 16¿¹¿¡¼­ 4°³ÀÇ ¹ß°¡¶ô(2¹ø°¿¡¼­ 5¹ø°)±¼°îÀ» À¯¹ßÇÏ¿´°í, 1¿¹¿¡¼­¸¸ ¾àÇÑ ¾öÁö¹ß°¡¶ô ±¼°îÀÌ À¯¹ßµÇ¾ú´Ù. »çü ¿¬±¸¿¡¼­´Â °Ë»çµÈ 5°³ ÇÏÁö ¸ðµÎ¿¡¼­, FHL ÈûÁÙÀϺΰ¡ FDL ÈûÁÙ°ú À¶ÇÕµÇ¾î ³ªÅ¸³µ´Ù. ¹Ý´ë·Î, FDLÀÇ ¾î¶² ÈûÁÙµµ FHL¿¡ À¶ÇÕµÇÁö ¾Ê¾Ò´Ù.


 


Note: the thick main tendon of the flexor hallucis longus, which inserts into the first toe, and the other relatively thin branches, which join the tendon of the flexor digitorum longus, ending toward the second toe.

 

°á·Ð: ´ëºÎºÐÀÇ ÇÇÇèÀÚ¿¡¼­ FHLÀÌ FDL ÈûÁÙ°ú ¿¬°áµÇ¾î ÀÖÀ½ÀÌ È®ÀεǾú´Ù. µÎ ¹ø°¿Í ¼¼ ¹ø° ¹ß°¡¶ôÀÇ ¿òÁ÷ÀÓÀº FDL»Ó ¾Æ´Ï¶ó, FHL ±ÙÀ°¿¡ ÀÇÇؼ­µµ Á¦¾îµÈ´Ù. ÀÌ´Â claw foot deformity Ä¡·á¸¦ À§ÇØ FDL »Ó¾Æ´Ï¶ó FHL ±ÙÀ°¿¡µµ BoNT ÁÖ»çÄ¡·á°¡ Çʿ伺À» °­Á¶ÇÑ´Ù.

 

Comment : ³úÁ¹ÁßÀÌÈÄ ¹ß»ýÇÑ claw toe deformityÀÇ º¸Åø¸®´® µ¶¼Ò ÁÖ»çÄ¡·á¿¡ ´ëÇÑ ³í¹®ÀÌ´Ù. 2~5¹ø° ¹ß°¡¶ô¿¡ ÈçÈ÷ ¹ß»ýµÉ ¼ö Àִµ¥, ÀÌ·²¶§ FDL¸¸ ÁÖ»çÄ¡·á ÇÏ´Â °Í º¸´Ù´Â FHL Áֻ縦 ÇÔ²² ÇØÁÖ´Â °ÍÀÌ È¿°úÀûÀ̶ó´Â °á·ÐÀÌ´Ù. ÀÌ´Â 2,3¹ø° ¹ß°¡¶ô ±¼°î¿¡ FHL°¡ °ü¿©ÇÏ°í Àֱ⠶§¹®ÀÌ¶ó ¼³¸íÇÑ´Ù. ÇغÎÇÐÀûÀ¸·Î Knot of Henry¿¡¼­ FHL ÀϺΠÈûÁÙÀÌ FDL ÈûÁÙ°ú À¶ÇÕµÊÀÌ È®ÀεȴÙ. À̸¦ ÀÌ¿ëÇÑ´Ù¸é, ÀÓ»óÀûÀ¸·Î ½±°Ô ÇØ°áµÇÁö ¾Ê´Â, claw toeȯÀÚ¿¡°Ô º¸´Ù È¿°úÀûÀÎ Ä¡·á°¡ °¡´ÉÇϸ®¶ó »ý°¢µÈ´Ù.

 

 


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