Surgical Repair of Abductor Hallucis Muscle Herniation: A Case Report

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 au...

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Published inThe Journal of foot and ankle surgery Vol. 49; no. 5; pp. 488.e5 - 488.e9
Main Authors Nicklas, Bonnie J., DPM, DABPS, McEneaney, Patrick A., DPM, Lichniak, James E., DPM, ABPOPPM, Baron, Robert L., DPM, Brownell, Benjamin A., DPM
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2010
Subjects
foot
hernia
Hernia - diagnosis
Herniorrhaphy
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Muscle, Skeletal - surgery
Muscular Diseases - diagnosis
Muscular Diseases - surgery
Orthopedics
Pain - etiology
Pain - surgery
rupture
surgery
Surgical Mesh
trauma
trauma
4
hernia
foot
rupture
surgery
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2010.06.020