Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2715793 | The Journal of Foot and Ankle Surgery | 2010 | 5 Pages |
Abstract
Herniation of the abductor hallucis muscle has rarely been reported in the literature. This condition causes localized pain, especially while weight bearing, as a result of a complex cascade of biomechanical events directly related to loss of integrity of the medial wall of the foot. The authors present a case of a flexor retinaculum tear with subsequent herniation of the abductor hallucis muscle. When conservative treatment options failed to provide significant relief, surgical intervention was performed, which revealed ischemic muscle tissue and a partial flexor retinaculum tear. The nonviable muscle was surgically debrided and the fascial defect was repaired with a polypropylene nonabsorbable synthetic surgical mesh. This herniorrhaphy reestablished medial compartment support, thus allowing the patient to return to pain-free ambulation.
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Authors
Bonnie J. DPM, DABPS, Patrick A. DPM, James E. DPM, ABPOPPM, Robert L. DPM, Benjamin A. DPM,