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Fibrosis between the FHL and the Flexor Digitorum tendons mimicking Plantar Fasciopathy

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Nov 9, 2010.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    Last edited by a moderator: Sep 22, 2016
  2. bob

    bob Active Member

    Great! Yeah, super! I also have a cheap anatomy book that shows that FHL and FDL cross somewhere in the midfoot. I'm not quite sure how to make the step from looking at my cheap anatomy book to running a seminar teaching people how to diagnose fibrosis between the tendons? Imaging? Any tips on this gratefully received.

    Knot of Henry? Interconnecting tendinous slip between FHL and FDL anyone? Maybe if the guys who ran these seminars had dissected a cadaver or performed flatfoot surgery they might mention these normal anatomical findings instead of spewing out this dirge. I'm possibly being a bit harsh as I have not seen the full seminar and maybe he goes on to talk about these things, but the short clip kind of gives the impression that he's hunting for another differential diagnosis for plantar/ medial heel pain. :dizzy:
     
  3. Bruce Williams

    Bruce Williams Well-Known Member

    I have not seen the clip, but have great interest in this area of the foot.

    The knot of Henry actually seems to sit below the 3rd cuneiform in most texts. I find this area to also be representative of a trigger point in patients with lateral column pronation compensation. It may be due to plantar flexion of the cuneiform due to a valgus rotation of the cuboid. I think so.
    Manipulation of this area is helpful in my treatment plans for plantar fascitiis, etc.

    Sorry for the aside, I just think this is an interesting anatomical finding.

    Cheers!
    Bruce
     
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