Even though the DMPFC is situated 3-4 cm deep, the figure-of-eight coil can stimulate this area when the motor threshold of the extensor hallucis longus
is found .
He had a power of 2/5 in iliopsoas, 3/5 in extensor hallucis longus
and 0/5 in ankle plantar flexors on both sides.
We insert one slip into the Extensor Hallucis Longus
and the second into the Extensor Digitorum Longus including the peroneus tertius at maximal tension, using Linen and Nylon.
Isolated reports of the involvement of peroneal, anterior tibial, posterior tibial and extensor hallucis longus
tendons are available (11-14).
The nerves to the extensor digitorum longus and extensor hallucis longus
also could not be separated because of interfascicular plexusing.
All the nerves/vessels can be approached with an in-plane needle-transducer orientation; however, the deep peroneal nerve is approached out-of-plane to facilitate needle passage lateral to the extensor hallucis longus
tendon to reach the anterior tibial artery/deep peroneal nerve.
Tenosynovitis is more common than tears in the anterior tendons, including the extensor digitorum longus (EDL) (Figure 15) and the extensor hallucis longus
During motor examination, the left lower extremity muscle strength was globally 5/5, while the right lower extremity muscle strength was as follows: musculus tibialis anterior 1/5, musculus extensor hallucis longus
1/5, and other muscle groups 5/5.
Manual muscle testing (MMT) of the right tibialis anterior muscle (TA) and that of the right extensor hallucis longus
muscle (EHL) were both 4/5 at this first examination.
The anterior compartment has 4 muscles: the extensor digitorum longus, extensor hallucis longus
, peroneus tertius and tibialis anterior.
As the phalanx becomes misaligned, the abductor hallucis can contribute to pronation while the extensor hallucis longus
becomes an adducting force on the phalanx, promoting progression of the deformity (Fig.