{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:38:26Z","timestamp":1787614706218,"version":"build-2736575974"},"reference-count":14,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:00:00Z","timestamp":1716940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hallux valgus (HV) is a complex deformity, with many associated risk factors. The flexor hallucis longus (FHL) tendon is a dynamic and potentially deforming force as it bowstrings laterally with HV. We hypothesized that FHL is more laterally inserted in the distal phalanx in cadavers with HV; therefore, it might be also a primary destabilizing force. We aim to compare the FHL distal insertion morphology and its relationship with osseous structures in cadavers with and without HV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Sixteen cadaver specimens, 8 with HV and 8 without (N-HV) were dissected. We evaluated FHL distal morphology in terms of its insertional footprint location and FHL long-axis position in relation to osseous anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Both the HV and N-HV groups displayed a laterally inserted footprint at the distal phalanx, with the HV group exhibiting median lateral translation of the footprint 6% greater than the N-HV group ( P\u2009&lt;\u2009.01). Both groups also demonstrated a laterally displaced position for the FHL long axis. The median FHL long axis for HV vs N-HV specimens 1 cm proximal to the IP joint was 9% more laterally displaced from the midaxis ( P\u2009&lt;\u2009.01), and at 1 cm proximal to the MTP joint was measured to be 15% more laterally displaced from the midaxis ( P\u2009&lt;\u2009.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>FHL demonstrated an eccentric position in terms of insertion and trajectory in both the HV and N-HV groups, with greater lateralization in specimens exhibiting HV deformity. This eccentricity potentially creates a greater deforming force vector contributing to the development of HV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>The etiology and progression of HV deformity may include a lateralized insertion of the FHL tendon. Treatment implications remain unknown at this time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241241261","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T08:07:40Z","timestamp":1716970060000},"page":"757-763","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Anatomy of the Flexor Hallucis Longus and Its Relationship With Hallux Valgus: A Cadaveric Study"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0908-9908","authenticated-orcid":false,"given":"Ximena","family":"Ahumada","sequence":"first","affiliation":[{"name":"Universidad de Los Andes, Las Condes, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristi\u00e1n","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Universidad de Los Andes, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Carcuro","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Universidad de Los Andes, Universidad de Chile, Las Condes, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2820-5337","authenticated-orcid":false,"given":"Manuel","family":"Pellegrini","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Universidad de Los Andes, Universidad de Chile, Las Condes, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Butteri","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Universidad de Los Andes, Universidad de Chile, Las Condes, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Albarr\u00e1n","sequence":"additional","affiliation":[{"name":"Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3524-0624","authenticated-orcid":false,"given":"Felipe","family":"Chaparro","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Universidad de Los Andes, Universidad de Chile, Las Condes, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,29]]},"reference":[{"key":"bibr1-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHM.0000064718.24109.26"},{"key":"bibr2-10711007241241261","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0759"},{"key":"bibr3-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-1977-3"},{"key":"bibr4-10711007241241261","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0654"},{"key":"bibr5-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.36B2.272"},{"key":"bibr6-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700907"},{"key":"bibr7-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-3-21"},{"key":"bibr8-10711007241241261","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200710000-00010"},{"key":"bibr9-10711007241241261","doi-asserted-by":"publisher","DOI":"10.30795\/jfootankle.2023.v17.1693"},{"key":"bibr10-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1002\/art.23709"},{"key":"bibr11-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199706000-00035"},{"key":"bibr12-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300905"},{"key":"bibr13-10711007241241261","doi-asserted-by":"publisher","DOI":"10.7547\/0950401"},{"key":"bibr14-10711007241241261","doi-asserted-by":"publisher","DOI":"10.1177\/107110078600700106"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007241241261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007241241261","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007241241261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:23:00Z","timestamp":1777411380000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007241241261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,29]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/10711007241241261"],"URL":"https:\/\/doi.org\/10.1177\/10711007241241261","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,29]]}}}