Hallux Valgus and Forefoot Surgery by V. Hetherington

By V. Hetherington

A entire, definitive reference for day by day administration of hallux valgus deformities - the world such a lot operated on by means of podiatrists. good points: * Takes a how-to" method of surgical options, together with countless numbers of medical images and descriptive line drawings * contains insurance of easy sciences, comparable to anatomy, pathology, biomechanics, biomaterials, in addition to fixation-criteria established surgical options and issues. * provides important info on preoperative education and postoperative care * Covers favourite vintage techniques and the most recent, cutting-edge recommendations * Discusses the popular recommendations and ways of popular foot surgeons from all over the world "

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As the tendon courses distal it crosses from the lateral side of the anterior tibial vessels to the medial side. The tendon inserts into the dorsal surface of the base of the distal phalanx of the hallux. At the level of the first metatarsophalangeal joint a small tendinous slip regularly inserts into the first metatarsophalangeal joint capsule. 20,22 Extensor Digitorum Longus Muscle The extensor digitorum longus muscle originates from the lateral tibial condyle, the upper three-fourths of the anterior surface of the fibular shaft, and the adjacent interosseus membrane.

Intersesamoid Ligament The intersesamoid ligament is a small broad ligament; on intracapsular dissection of the joint, the ligamentous fibers are clearly seen extending from the medial to the lateral sesamoid (Fig. 2-5C). Medial and Lateral Metatarsophalangeal Suspensory Ligaments This section of the plantar metatarsophalangeal ligament extends from the medial and lateral tubercles to the medial and lateral sesamoids. These ligaments, as compared to the suspensory ligaments of the lesser metatarsophalangeal joints, are easily observed.

VASCULAR SUPPLY Arterial Supply to the Dorsal Foot In the now classic study by Huber,29 the dorsalispedis artery and its branches could be superimposed on a general arterial network pattern in 98% of the cases studied (Fig. 2-11). Specifically, there are numerous NORMAL ANATOMY OF THE FOREFOOT 31 Fig. 2-11 (Continued). (B) Plantar foot. variations of the course of the arteries in the foot; however, these variations can be explained as smallcaliber or absent vessels or parts of vessels from the general pattern.

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