The surgical anatomy of the dorsomedial cutaneous nerve of the hallux.
J Bone Joint Surg Br
; 83(2): 250-2, 2001 Mar.
Article
in En
| MEDLINE
| ID: mdl-11284575
ABSTRACT
Most techniques described for the correction of hallux valgus require exposure of the distal aspect of the first metatarsal. A dorsomedial incision is often recommended. Texts counsel against damaging the dorsal digital nerve, as a painful neuroma is an unwelcome surgical complication. Our study on cadavers aimed to investigate the anatomy of the dorsomedial cutaneous nerve in the metatarsophalangeal region, with special reference to surgical incisions. A constant, previously unrecognised branch of the nerve was identified. This branch is likely to be damaged if a dorsomedial approach is used. It is recommended that a mid-medial incision be used instead, i.e. at the junction of the plantar and dorsal skin.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hallux
/
Hallux Valgus
Limits:
Humans
Language:
En
Journal:
J Bone Joint Surg Br
Year:
2001
Type:
Article
Affiliation country:
United kingdom