Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method

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 dorsomedia...

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Autores: Malagelada, Francesc, Dalmau-Pastor, Miki, Fargues Polo, Betlem, Manzanares Céspedes, María Cristina, Peña, Fernando, Vega, Jordi
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/126076
Acceso en línea:https://hdl.handle.net/2445/126076
Access Level:acceso abierto
Palabra clave:Malformacions del peu
Malalties del peu
Cirurgia ortopèdica
Cirurgia operatòria
Artroscòpia
Peu
Foot abnormalities
Foot diseases
Orthopedic surgery
Operative surgery
Arthroscopy
Foot
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spelling Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock methodMalagelada, FrancescDalmau-Pastor, MikiFargues Polo, BetlemManzanares Céspedes, María CristinaPeña, FernandoVega, JordiMalformacions del peuMalalties del peuCirurgia ortopèdicaCirurgia operatòriaArtroscòpiaPeuFoot abnormalitiesFoot diseasesOrthopedic surgeryOperative surgeryArthroscopyFootBackground: 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.Elsevier2018201920182018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion5 p.application/pdfhttps://hdl.handle.net/2445/126076Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1016/j.fas.2016.11.004Foot And Ankle Surgery, 2018, vol. 24, num. 1, p. 40-44https://doi.org/10.1016/j.fas.2016.11.004cc-by-nc-nd (c) European Foot and Ankle Society, 2018http://creativecommons.org/licenses/by-nc-nd/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1260762026-05-29T05:05:01Z
dc.title.none.fl_str_mv Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
title Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
spellingShingle Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
Malagelada, Francesc
Malformacions del peu
Malalties del peu
Cirurgia ortopèdica
Cirurgia operatòria
Artroscòpia
Peu
Foot abnormalities
Foot diseases
Orthopedic surgery
Operative surgery
Arthroscopy
Foot
title_short Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
title_full Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
title_fullStr Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
title_full_unstemmed Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
title_sort Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method
dc.creator.none.fl_str_mv Malagelada, Francesc
Dalmau-Pastor, Miki
Fargues Polo, Betlem
Manzanares Céspedes, María Cristina
Peña, Fernando
Vega, Jordi
author Malagelada, Francesc
author_facet Malagelada, Francesc
Dalmau-Pastor, Miki
Fargues Polo, Betlem
Manzanares Céspedes, María Cristina
Peña, Fernando
Vega, Jordi
author_role author
author2 Dalmau-Pastor, Miki
Fargues Polo, Betlem
Manzanares Céspedes, María Cristina
Peña, Fernando
Vega, Jordi
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Malformacions del peu
Malalties del peu
Cirurgia ortopèdica
Cirurgia operatòria
Artroscòpia
Peu
Foot abnormalities
Foot diseases
Orthopedic surgery
Operative surgery
Arthroscopy
Foot
topic Malformacions del peu
Malalties del peu
Cirurgia ortopèdica
Cirurgia operatòria
Artroscòpia
Peu
Foot abnormalities
Foot diseases
Orthopedic surgery
Operative surgery
Arthroscopy
Foot
description 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.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018
2018
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/126076
url https://hdl.handle.net/2445/126076
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1016/j.fas.2016.11.004
Foot And Ankle Surgery, 2018, vol. 24, num. 1, p. 40-44
https://doi.org/10.1016/j.fas.2016.11.004
dc.rights.none.fl_str_mv cc-by-nc-nd (c) European Foot and Ankle Society, 2018
http://creativecommons.org/licenses/by-nc-nd/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) European Foot and Ankle Society, 2018
http://creativecommons.org/licenses/by-nc-nd/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 5 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (Patologia i Terapèutica Experimental)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869416256997687296
score 15,811543

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