Endoscopic Intermetatarsal Ligament Decompression

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Presentation transcript:

Endoscopic Intermetatarsal Ligament Decompression Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. Arthroscopy Techniques Volume 4, Issue 6, Pages e807-e810 (December 2015) DOI: 10.1016/j.eats.2015.08.003 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Endoscopic decompression of second intermetatarsal ligament in left foot. The arthroscopic trocar is inserted through the toe-web portal to the plantar portal. The arthroscopic cannula is inserted along the trocar in a reciprocal manner through the plantar portal. Arthroscopy Techniques 2015 4, e807-e810DOI: (10.1016/j.eats.2015.08.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Endoscopic decompression of second intermetatarsal ligament in left foot. (A) The plantar portal is the viewing portal. (B) The retrograde knife is inserted along the undersurface of the intermetatarsal ligament (a) through the toe-web portal until the proximal edge of the ligament is reached. (C) The interosseous muscles (b) can be seen through the thin fascia that is proximal to the ligament (a). (D) The ligament (a) is cut from the proximal edge distally. Arthroscopy Techniques 2015 4, e807-e810DOI: (10.1016/j.eats.2015.08.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Endoscopic decompression of second intermetatarsal ligament in left foot. The toe-web portal is the viewing portal. The intermetatarsal nerve (n) can be seen through the cut edges of the intermetatarsal ligament (a). Arthroscopy Techniques 2015 4, e807-e810DOI: (10.1016/j.eats.2015.08.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions