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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Endoscopic plantar fascia release: a cross-sectional anatomic study
F Reeve1, R T Laughlin, D G Wright
1Wright State University, Department of Orthopaedic Surgery, Dayton, Ohio 45409, USA.
Foot & Ankle International
|July 1, 1997
Summary
Endoscopic plantar fascia release for heel pain is a novel procedure. This study found the nerve to the abductor digiti minimi was not damaged, though it was closer than expected.
Area of Science:
- Orthopedic surgery
- Anatomy
- Minimally invasive procedures
Background:
- Plantar fasciitis and heel pain are common conditions.
- Endoscopic plantar fascia release is a new surgical option.
- Understanding anatomical risks is crucial for safety.
Purpose of the Study:
- To evaluate the anatomical structures at risk during endoscopic plantar fascia release.
- To assess the proximity of critical nerves and fascia to the surgical instruments.
Main Methods:
- Ten fresh-frozen cadaver feet were used.
- Cannula placement was performed inferior to the plantar fascia.
- Specimens underwent endoscopic release, dissection, and cross-sectioning for analysis.
Main Results:
- An average of 90% of the plantar fascia was released.
- The nerve to the abductor digiti minimi was consistently 6 mm from the cannula.
- No damage to the nerve was observed, but it was closer than previously reported.
Conclusions:
- Endoscopic plantar fascia release can be performed safely regarding the nerve to the abductor digiti minimi.
- Surgeons should be aware of the nerve's proximity during the procedure.
- Further studies may refine technique to optimize safety and efficacy.
