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Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
- Source :
- Recercat. Dipósit de la Recerca de Catalunya, instname, Dipòsit Digital de la UB, Universidad de Barcelona
- Publication Year :
- 2018
- Publisher :
- Elsevier, 2018.
-
Abstract
- Background The purpose of this study is to describe a simple and reproducible method to localize the neurological structures at risk and to describe a safe zone for hallux minimally invasive surgery (MIS) procedures. Methods Ten fresh-frozen cadaveric feet were dissected to identify the dorsomedial digital nerve (DMDN) and the dorsolateral digital nerve (DLDN) of the first toe. Axial sections were performed at the sites of metatarsal osteotomies. We documented the position of the nerves with respect to the extensor hallucis longus (EHL) tendon using a clock method superimposed on the axial section Results The DMDN was found at an average of 26.2° medial to the medial border of the EHL tendon. (SD 11.26, range 14.5–45.5), whereas the average distance of the DLDN was 32.3° lateral to the medial border of the EHL tendon. (SD 6.29, range 13.5–40). Conclusions Using the clock method the DMDN and DLDN were found consistently between 10 o'clock and 2 o'clock in either right and left feet. The clock method may facilitate avoiding the area where these nerves are located serving as a valuable tool in minimally invasive foot surgery.
- Subjects :
- Male
medicine.medical_specialty
Artroscòpia
03 medical and health sciences
Hallux rigidus
Arthroscopy
0302 clinical medicine
Cirurgia operatòria
Foot diseases
medicine
Cadaver
Humans
Minimally Invasive Surgical Procedures
Orthopedics and Sports Medicine
Aged
Aged, 80 and over
Orthopedic surgery
030222 orthopedics
medicine.diagnostic_test
business.industry
Foot
Dissection
Cirurgia ortopèdica
Malalties del peu
030229 sport sciences
Anatomy
Middle Aged
medicine.disease
Tendon
Surgery
Osteotomy
Malformacions del peu
medicine.anatomical_structure
Peu
Invasive surgery
Foot abnormalities
Hallux
Female
Patient Safety
Foot surgery
Digital nerve
Cadaveric spasm
business
Operative surgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Recercat. Dipósit de la Recerca de Catalunya, instname, Dipòsit Digital de la UB, Universidad de Barcelona
- Accession number :
- edsair.doi.dedup.....9f4bd3261255540d4fcd30005708cc12