Acta Orthopaedica et Traumatologica Turcica
Research Article

Is denervation surgery possible in the treatment of hallux rigidus? An anatomic study of cadaveric specimens

1.

Department of Orthopedic Surgery, Medipol University, School of Medicine, İstanbul, Turkey

2.

Private Clinic, Muğla, Turkey

3.

Department of Anatomy, Acıbadem University, School of Medicine, İstanbul, Turkey

AOTT 2021; 55: 327-331
DOI: 10.5152/j.aott.2021.20329
Read: 126 Downloads: 49 Published: 17 August 2021

Objective: The aim of this study was to provide anatomic considerations in the first metatarsophalangeal joint (FMPJ) innervation and to evaluate the feasibility of the denervation surgery in the treatment of hallux rigidus.

Methods: In this cadaveric study, 14 fresh frozen cadaveric transtibial amputation specimens was used. For nerve dissection, dorsal and plantar longitudinal incision centered over the FMPJ were performed. Deep peroneal and dorsomedial cutaneous nerves were dissected in the dorsal aspect of the joint. Medial plantar nerve branches, medial and lateral hallucal nerves, were dissected in the plantar aspect of the joint. The presence, number, and location of articular branches to the FMPJ capsule were recorded. Dorsal and plantar incision length for proper dissection were also recorded.

Results: Nerve dissection of the 14 specimens revealed the following number of articular branches from the relevant nerves: 14 from dorsomedial cutaneous nerves, 11 from deep peroneal nerves, 6 from medial hallucal nerve, and 5 from lateral hallucal nerve. Dorsal incision mean length was 60.53 (range, 42.48˗85.12) mm, and the plantar incision mean length was 88.08 (range, 77.32˗111.21) mm.

Conclusion: Evidence from this study has shown that partial dorsal denervation of the FMPJ may be a technically feasible procedure along with the presence of superficially easily dissected nerves with relatively small incision.

Level of Evidence: Level 5

Cite this article as: Çatal B, Keskinbora M, Keskinöz EN, et al. Is denervation surgery possible in the treatment of hallux rigidus? An anatomic study of cadaveric specimens. Acta Orthop Traumatol Turc 2021; 55(4): 327–331.

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ISSN 1017-995X EISSN 2589-1294