The effect of hallux valgus on the anatomy of the nerves around the first metatarsal bone

Basit Öğe Kaydı
dc.authoridKurtoglu Olgunus, Zeliha/0000-0003-0196-9975
dc.authoridkoc, turan/0000-0001-6970-3351
dc.contributor.authorCicek, Fatih
dc.contributor.authorOlgunus, Zeliha Kurtoglu
dc.contributor.authorKoc, Turan
dc.date.accessioned2024-11-07T13:34:19Z
dc.date.available2024-11-07T13:34:19Z
dc.date.issued2024
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective To identify the variations in the location of the nerves that may be at risk in hallux valgus (HV) surgery, and to reveal whether these nerves are affected by the anatomical changes associated with HV. Method In the formalin fixed, 46 lower extremities (19 female, 27 male) (9 normal, 14 mild HV, 21 moderate/severe HV), extensor hallucis longus tendon (EHL), deep plantar artery, medial dorsal cutaneous (MDCN), deep fibular (DFN), common plantar digital (CPDN) and proper plantar digital (PPDN) nerves were examined. The branches of MDCN extending to the medial side of foot were recorded in three segments. The positional topography of nerves according to EHL were analyzed on 360(degrees) circle and clock models. Results Sex-related differences observed in some parameters in direct measurements were not found in the clock model comparisons. In advanced HV angles (> 20(degrees)), DFN was closer to EHL in the distal part of the metatarsal bone, while there was no difference in the proximal. The intersection of the medial branch of the MDCN with the EHL was more proximal in HV cases than in normal feet. The location of the nerves in the clock pattern did not change in HV. Of the nerve branches reaching the medial side of the foot, 65.2% were in Part I, 71.7% in Part II, and 4.3% in Part III. Conclusion Sex differences in the distance of the nerves to the EHL disappeared when the size effect of the cross-section of the first metatarsal bone region was eliminated with the clock model. Only in advanced HVA (>20(degrees)) (not in mild HV), the DFN being closer to the EHL distally and the intersection of the medial branch of the MDCN with the EHL in HV being more proximal than in normal can be interpreted as specific reflections of HV progress. The variations we revealed in the number of branches reaching the inside of the foot may explain the diversity of neuromas or nerve injuries associated with HV surgery.
dc.description.sponsorshipMersin University Scientific Research Projects Unit
dc.description.sponsorshipThe authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. The results of such studies can contribute to the improvement of the health service that humanity receives. For this reason, we would like to express our gratitude to these donors and their families on behalf of researchers and humanity. Also, thanks to Mersin University Scientific Research Projects Unit for supporting this study.
dc.identifier.doi10.1007/s00276-024-03318-9
dc.identifier.endpage441
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.issue4
dc.identifier.pmid38492026
dc.identifier.scopus2-s2.0-85187946365
dc.identifier.scopusqualityQ2
dc.identifier.startpage433
dc.identifier.urihttps://doi.org/10.1007/s00276-024-03318-9
dc.identifier.urihttps://hdl.handle.net/11480/15922
dc.identifier.volume46
dc.identifier.wosWOS:001186003300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer France
dc.relation.ispartofSurgical and Radiologic Anatomy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectMedial dorsal cutaneous nerve
dc.subjectHallux valgus
dc.subjectFirst metatarsal bone
dc.subjectProper plantar digital nerve
dc.subjectCommon plantar digital nerve
dc.titleThe effect of hallux valgus on the anatomy of the nerves around the first metatarsal bone
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu