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December 4, 2025Journal of Pediatric Orthopaedics

How Low is Low? A Normative Study Defining Flexor Hallucis Longus Anatomic Location From Late Childhood Through Adolescence

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NCNathan Chaclas

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Overview

Normative study defines positioning differences of flexor hallucis longus in adolescence, suggesting current pathology cutoffs may be inadequate.

Key Points

  • Mean musculotendinous junction distance was 13.5 millimeters, with many cases deemed low-lying.
  • Age significantly predicts MTJ distance, with an increase of 1.0 mm per year.
  • Analysis was retrospective, involving MRIs from 68 patients focused on the posterior ankle anatomy.
  • Findings suggest existing pathology definitions may not apply for adolescents; further studies warranted.

Cite This Study

Nathan Chaclas (2025) studied this question.

synapsesocial.com/papers/6930dc9eea1aef094cca2d6fhttps://doi.org/10.1097/bpo.0000000000003183
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