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Article: Endoscopic distal soft-tissue release in the treatment of hallux valgus: A cadaveric study

TitleEndoscopic distal soft-tissue release in the treatment of hallux valgus: A cadaveric study
Authors
Issue Date2010
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/arthro
Citation
Arthroscopy - Journal Of Arthroscopic And Related Surgery, 2010, v. 26 n. 8, p. 1111-1116+e130 How to Cite?
AbstractPurpose: To study the efficacy and safety of the lateral release of the endoscopic distal soft-tissue procedure in the treatment of hallux valgus. Methods: Twenty fresh-frozen foot and ankle specimens were used. Ligament-sacrificing release was performed in 10 specimens (group 1). Ligament-sparing release was performed in another 10 specimens (group 2). The relation between the metal rod that passed through the toe web and plantar portal wounds and neural structures, degree of completeness of release of the intermetatarsal ligament, adductor hallucis insertion, and lateral capsular structures was studied. Results: The common digital nerve of the first intermetatarsal space ran along the medial side of the rod, the medial digital nerve of the second toe ran obliquely and plantar to the rod just proximal to the proximal edge of the intermetatarsal ligament, and the lateral digital nerve of the hallux ran along the plantar lateral border of the metatarsal head and fibular sesamoid in all specimens. The intermetatarsal ligament, adductor hallucis insertion, and lateral capsular ligamentous structures were released completely in all specimens in group 1. The intermetatarsal ligament was preserved and the lateral capsular ligamentous structures were completely released in all specimens in group 2. The adductor hallucis insertion was completely released in 7 specimens. No nerve injury or cartilage damage was noted in all 20 specimens. Conclusions: With the release of the intermetatarsal ligament, all lateral capsular ligamentous structures including the adductor were released, but with intermetatarsal ligament preservation, only 70% of the specimens had complete adductor release. There was no neural or articular cartilage damage in either group. Clinical Relevance: The study provides an anatomic basis for safe practice of endoscopic distal soft-tissue release in the correction of hallux valgus deformity. © 2010 Arthroscopy Association of North America.
Persistent Identifierhttp://hdl.handle.net/10722/138190
ISSN
2015 Impact Factor: 3.724
2015 SCImago Journal Rankings: 2.300
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLui, THen_HK
dc.contributor.authorChan, KBen_HK
dc.contributor.authorChan, LKen_HK
dc.date.accessioned2011-08-26T14:42:45Z-
dc.date.available2011-08-26T14:42:45Z-
dc.date.issued2010en_HK
dc.identifier.citationArthroscopy - Journal Of Arthroscopic And Related Surgery, 2010, v. 26 n. 8, p. 1111-1116+e130en_HK
dc.identifier.issn0749-8063en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138190-
dc.description.abstractPurpose: To study the efficacy and safety of the lateral release of the endoscopic distal soft-tissue procedure in the treatment of hallux valgus. Methods: Twenty fresh-frozen foot and ankle specimens were used. Ligament-sacrificing release was performed in 10 specimens (group 1). Ligament-sparing release was performed in another 10 specimens (group 2). The relation between the metal rod that passed through the toe web and plantar portal wounds and neural structures, degree of completeness of release of the intermetatarsal ligament, adductor hallucis insertion, and lateral capsular structures was studied. Results: The common digital nerve of the first intermetatarsal space ran along the medial side of the rod, the medial digital nerve of the second toe ran obliquely and plantar to the rod just proximal to the proximal edge of the intermetatarsal ligament, and the lateral digital nerve of the hallux ran along the plantar lateral border of the metatarsal head and fibular sesamoid in all specimens. The intermetatarsal ligament, adductor hallucis insertion, and lateral capsular ligamentous structures were released completely in all specimens in group 1. The intermetatarsal ligament was preserved and the lateral capsular ligamentous structures were completely released in all specimens in group 2. The adductor hallucis insertion was completely released in 7 specimens. No nerve injury or cartilage damage was noted in all 20 specimens. Conclusions: With the release of the intermetatarsal ligament, all lateral capsular ligamentous structures including the adductor were released, but with intermetatarsal ligament preservation, only 70% of the specimens had complete adductor release. There was no neural or articular cartilage damage in either group. Clinical Relevance: The study provides an anatomic basis for safe practice of endoscopic distal soft-tissue release in the correction of hallux valgus deformity. © 2010 Arthroscopy Association of North America.en_HK
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/arthroen_HK
dc.relation.ispartofArthroscopy - Journal of Arthroscopic and Related Surgeryen_HK
dc.subject.meshAged, 80 and over-
dc.subject.meshArthroscopy - methods-
dc.subject.meshCadaver-
dc.subject.meshHallux Valgus - surgery-
dc.subject.meshLigaments - surgery-
dc.titleEndoscopic distal soft-tissue release in the treatment of hallux valgus: A cadaveric studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0749-8063&volume=26&issue=8&spage=1111&epage=1116&date=2010&atitle=Endoscopic+distal+soft-tissue+release+in+the+treatment+of+hallux+valgus:+a+cadaveric+study-
dc.identifier.emailChan, LK: lapki@hkucc.hku.hken_HK
dc.identifier.authorityChan, LK=rp00536en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.arthro.2009.12.027en_HK
dc.identifier.pmid20678710-
dc.identifier.scopuseid_2-s2.0-77955509088en_HK
dc.identifier.hkuros189521en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955509088&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume26en_HK
dc.identifier.issue8en_HK
dc.identifier.spage1111en_HK
dc.identifier.epage1116+e130en_HK
dc.identifier.isiWOS:000280848600021-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLui, TH=9237221000en_HK
dc.identifier.scopusauthoridChan, KB=10138948300en_HK
dc.identifier.scopusauthoridChan, LK=7403540426en_HK
dc.identifier.citeulike8700695-

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