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

TitleAnatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve
Authors
KeywordsAnatomy
Decompression
Endoscopy
Heel pain
Nerve
Plantar
Issue Date2008
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, 2008, v. 24 n. 11, p. 1284-1288 How to Cite?
AbstractPurpose: 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.
Persistent Identifierhttp://hdl.handle.net/10722/60940
ISSN
2014 Impact Factor: 3.206
2014 SCImago Journal Rankings: 2.192
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, LKen_HK
dc.contributor.authorLui, THen_HK
dc.contributor.authorChan, KBen_HK
dc.date.accessioned2010-05-31T04:22:25Z-
dc.date.available2010-05-31T04:22:25Z-
dc.date.issued2008en_HK
dc.identifier.citationArthroscopy - Journal Of Arthroscopic And Related Surgery, 2008, v. 24 n. 11, p. 1284-1288en_HK
dc.identifier.issn0749-8063en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60940-
dc.description.abstractPurpose: 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.en_HK
dc.languageengen_HK
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.subjectAnatomyen_HK
dc.subjectDecompressionen_HK
dc.subjectEndoscopyen_HK
dc.subjectHeel painen_HK
dc.subjectNerveen_HK
dc.subjectPlantaren_HK
dc.titleAnatomy of the Portal Tract for Endoscopic Decompression of the First Branch of the Lateral Plantar Nerveen_HK
dc.typeArticleen_HK
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.2008.06.017en_HK
dc.identifier.pmid18971060en_HK
dc.identifier.scopuseid_2-s2.0-54149097121en_HK
dc.identifier.hkuros156354en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-54149097121&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume24en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1284en_HK
dc.identifier.epage1288en_HK
dc.identifier.isiWOS:000261272700013-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, LK=7403540426en_HK
dc.identifier.scopusauthoridLui, TH=9237221000en_HK
dc.identifier.scopusauthoridChan, KB=10138948300en_HK

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