Article: Anatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve

File Download

No File Attached
The HKU Scholars Hub has contact details for these author(s).
- Dr Chan, Lap Ki

Links for fulltext
(May Require Subscription)

Publisher Website: 10.1016/j.arthro.2008.06.017
Scopus: eid_2-s2.0-54149097121
PMID: 18971060

Supplementary

Citations:
- Scopus:
- Web of Science:
- PubMed Central:
Item Statistics (The Hub)
Appears in Collections:
- Institute of Medical and Health Sciences Education: Journal/Magazine Articles

Title	Anatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve
Authors	Chan, LK1 Lui, TH2 Chan, KB2
Keywords	Anatomy Decompression Endoscopy Heel pain Nerve Plantar
Issue Date	2008
Publisher	WB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/arthro
Citation	Arthroscopy - Journal Of Arthroscopic And Related Surgery, 2008, v. 24 n. 11, p. 1284-1288 [How to Cite?] DOI: http://dx.doi.org/10.1016/j.arthro.2008.06.017
Abstract	Purpose: Our purpose is to study the anatomy of the portal tract for endoscopic decompression of the first branch of the lateral plantar nerve. Methods: The anatomy of the portals and portal tract with endoscopic release of the first branch of the lateral plantar nerve was studied in 12 feet in 6 cadaveric bodies. Results: The proximal portal is located at the fascial opening for the first branch of the lateral plantar nerve and is about 16 mm inferior and 23 mm posterior to the tip of the medial malleolus. The distal portal is located at the inferior edge of the deep fascia of the abductor hallucis muscle and just distal to the medial calcaneal tubercle. The portal tract is deep to the deep surface of the whole width of the deep abductor fascia. In 1 of 12 specimens, the nerve lay superficial to a rod placed between the portals, whereas the nerve was deep to the rod in the remaining 11 specimens. In all specimens the first branch of the lateral plantar nerve, after it pierced the deep fascia of the abductor hallucis at the fascial defect, ran anteriorly and distally, approximately parallel to the direction of the rod. Conclusions: The proximal portal for endoscopic decompression of the first branch of the lateral plantar nerve is located at the fascial opening for the first branch of the lateral plantar nerve. This can be consistently located with the Wissinger rod technique. The portal tract thus created is effective for deep abductor fascia release. However, percutaneous release without endoscopic visualization of the first branch of the lateral plantar nerve is not safe because of the potential risk of nerve injury, because the nerve can be sandwiched between the instrument and the deep abductor fascia without being noticed. Clinical Relevance: The study confirmed the first branch of the lateral plantar nerve can be effectively released endoscopically. © 2008 Arthroscopy Association of North America.
ISSN	0749-8063 2011 Impact Factor: 3.024 2011 SCImago Journal Rankings: 0.141
DOI	http://dx.doi.org/10.1016/j.arthro.2008.06.017
ISI Accession Number ID	WOS:000261272700013
References	References in Scopus

DC Field	Value
dc.contributor.author	Chan, LK
dc.contributor.author	Lui, TH
dc.contributor.author	Chan, KB
dc.date.accessioned	2010-05-31T04:22:25Z
dc.date.available	2010-05-31T04:22:25Z
dc.date.issued	2008
dc.description.abstract	Purpose: Our purpose is to study the anatomy of the portal tract for endoscopic decompression of the first branch of the lateral plantar nerve. Methods: The anatomy of the portals and portal tract with endoscopic release of the first branch of the lateral plantar nerve was studied in 12 feet in 6 cadaveric bodies. Results: The proximal portal is located at the fascial opening for the first branch of the lateral plantar nerve and is about 16 mm inferior and 23 mm posterior to the tip of the medial malleolus. The distal portal is located at the inferior edge of the deep fascia of the abductor hallucis muscle and just distal to the medial calcaneal tubercle. The portal tract is deep to the deep surface of the whole width of the deep abductor fascia. In 1 of 12 specimens, the nerve lay superficial to a rod placed between the portals, whereas the nerve was deep to the rod in the remaining 11 specimens. In all specimens the first branch of the lateral plantar nerve, after it pierced the deep fascia of the abductor hallucis at the fascial defect, ran anteriorly and distally, approximately parallel to the direction of the rod. Conclusions: The proximal portal for endoscopic decompression of the first branch of the lateral plantar nerve is located at the fascial opening for the first branch of the lateral plantar nerve. This can be consistently located with the Wissinger rod technique. The portal tract thus created is effective for deep abductor fascia release. However, percutaneous release without endoscopic visualization of the first branch of the lateral plantar nerve is not safe because of the potential risk of nerve injury, because the nerve can be sandwiched between the instrument and the deep abductor fascia without being noticed. Clinical Relevance: The study confirmed the first branch of the lateral plantar nerve can be effectively released endoscopically. © 2008 Arthroscopy Association of North America.
dc.description.nature	Link_to_subscribed_fulltext
dc.identifier.citation	Arthroscopy - Journal Of Arthroscopic And Related Surgery, 2008, v. 24 n. 11, p. 1284-1288 [How to Cite?] DOI: http://dx.doi.org/10.1016/j.arthro.2008.06.017
dc.identifier.doi	http://dx.doi.org/10.1016/j.arthro.2008.06.017
dc.identifier.epage	1288
dc.identifier.hkuros	156354
dc.identifier.isi	WOS:000261272700013
dc.identifier.issn	0749-8063 2011 Impact Factor: 3.024 2011 SCImago Journal Rankings: 0.141
dc.identifier.issue	11
dc.identifier.pmid	18971060
dc.identifier.scopus	eid_2-s2.0-54149097121
dc.identifier.spage	1284
dc.identifier.uri	http://hdl.handle.net/10722/60940
dc.identifier.volume	24
dc.language	eng
dc.publisher	WB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/arthro
dc.publisher.place	United States
dc.relation.ispartof	Arthroscopy - Journal of Arthroscopic and Related Surgery
dc.relation.references	References in Scopus
dc.subject	Anatomy
dc.subject	Decompression
dc.subject	Endoscopy
dc.subject	Heel pain
dc.subject	Nerve
dc.subject	Plantar
dc.title	Anatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve
dc.type	Article

<?xml encoding="utf-8" version="1.0"?><item><contributor.author>Chan, LK</contributor.author><contributor.author>Lui, TH</contributor.author><contributor.author>Chan, KB</contributor.author><date.accessioned>2010-05-31T04:22:25Z</date.accessioned><date.available>2010-05-31T04:22:25Z</date.available><date.issued>2008</date.issued><identifier.citation>Arthroscopy - Journal Of Arthroscopic And Related Surgery, 2008, v. 24 n. 11, p. 1284-1288</identifier.citation><identifier.issn>0749-8063</identifier.issn><identifier.uri>http://hdl.handle.net/10722/60940</identifier.uri><description.abstract>Purpose: Our purpose is to study the anatomy of the portal tract for endoscopic decompression of the first branch of the lateral plantar nerve. Methods: The anatomy of the portals and portal tract with endoscopic release of the first branch of the lateral plantar nerve was studied in 12 feet in 6 cadaveric bodies. Results: The proximal portal is located at the fascial opening for the first branch of the lateral plantar nerve and is about 16 mm inferior and 23 mm posterior to the tip of the medial malleolus. The distal portal is located at the inferior edge of the deep fascia of the abductor hallucis muscle and just distal to the medial calcaneal tubercle. The portal tract is deep to the deep surface of the whole width of the deep abductor fascia. In 1 of 12 specimens, the nerve lay superficial to a rod placed between the portals, whereas the nerve was deep to the rod in the remaining 11 specimens. In all specimens the first branch of the lateral plantar nerve, after it pierced the deep fascia of the abductor hallucis at the fascial defect, ran anteriorly and distally, approximately parallel to the direction of the rod. Conclusions: The proximal portal for endoscopic decompression of the first branch of the lateral plantar nerve is located at the fascial opening for the first branch of the lateral plantar nerve. This can be consistently located with the Wissinger rod technique. The portal tract thus created is effective for deep abductor fascia release. However, percutaneous release without endoscopic visualization of the first branch of the lateral plantar nerve is not safe because of the potential risk of nerve injury, because the nerve can be sandwiched between the instrument and the deep abductor fascia without being noticed. Clinical Relevance: The study confirmed the first branch of the lateral plantar nerve can be effectively released endoscopically. &#169; 2008 Arthroscopy Association of North America.</description.abstract><language>eng</language><publisher>WB Saunders Co. The Journal&apos;s web site is located at http://www.elsevier.com/locate/arthro</publisher><relation.ispartof>Arthroscopy - Journal of Arthroscopic and Related Surgery</relation.ispartof><subject>Anatomy</subject><subject>Decompression</subject><subject>Endoscopy</subject><subject>Heel pain</subject><subject>Nerve</subject><subject>Plantar</subject><title>Anatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve</title><type>Article</type><description.nature>Link_to_subscribed_fulltext</description.nature><identifier.doi>10.1016/j.arthro.2008.06.017</identifier.doi><identifier.pmid>18971060</identifier.pmid><identifier.scopus>eid_2-s2.0-54149097121</identifier.scopus><identifier.hkuros>156354</identifier.hkuros><relation.references>http://www.scopus.com/mlt/select.url?eid=2-s2.0-54149097121&amp;selection=ref&amp;src=s&amp;origin=recordpage</relation.references><identifier.volume>24</identifier.volume><identifier.issue>11</identifier.issue><identifier.spage>1284</identifier.spage><identifier.epage>1288</identifier.epage><identifier.isi>WOS:000261272700013</identifier.isi><publisher.place>United States</publisher.place></item>

Author Affiliations

The University of Hong Kong Li Ka Shing Faculty of Medicine
North District Hospital Hong Kong

Article: Anatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve

The HKU Scholars Hub has contact details for these author(s).