Anatomy of the Plantarmedial Hallucal Nerve in Relation to the Medial Approach of the First Metatarsophalangeal Joint

Abstract

Surgeons should be vigilant in doing the vertical capsulotomy of the first metatarsophalangeal joint especially if the plantarmedial hallucal nerve is not identified.

Sensory Nerve Dysfunction and Hallux Valgus Correction

“…20 Although plantarmedial structure, this nerve can be injured at the time of a vertical medial first MTP capsulotomy. 31 This study has several limitations. First, the sample size and follow-up were limited.…”

Special Report: Highlights of the 25th Annual Summer Meeting of the American Orthopaedic Foot and Ankle Society, Vancouver, Canada, July 16–18, 2009

“…Dissection of nine cadaver specimens showed that the average distance between the plantarmedial hallucal nerve and the midline was 11 ± 3 mm. 46 The average distance between the plantarmedial hallucal nerve and the plantar extent of a vertical medial first metatarsophalangeal capsulotomy was 2 ± 2 mm, and partial nerve transaction was noted in one specimen. 46 B. Tendon.…”