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Case Reports
. 2022 May;56(3):232-235.
doi: 10.5152/j.aott.2022.21344.

Neuroma as an unusual complication of transarticular lateral release and distal chevron metatarsal osteotomy for hallux valgus: A case report

Yoon-Chung Kim  1 , Chang-Yeon Kim  2 , Bo-Seoung Kim  2 , Jae-Jung Jeong  2
Affiliations
Case Reports

Neuroma as an unusual complication of transarticular lateral release and distal chevron metatarsal osteotomy for hallux valgus: A case report

Yoon-Chung Kim et al. Acta Orthop Traumatol Turc. 2022 May.

Abstract

Compared to other lateral soft tissue release methods during hallux valgus surgery, the medial transarticular approach has the advantages of being reproducible, safe, and simple. However, a few reports have described the disadvantages of medial transarticular lateral soft tissue release, including only inadequate lateral soft tissue release. Herein, we report a case of intermetatarsal neuroma in the first web space after hallux valgus correction using distal chevron metatarsal osteotomy and medial transarticular lateral soft tissue release. This case report aimed to highlight the possibility of nerve damage due to medial transarticular lateral soft tissue release during hallux valgus correction surgery.

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Figures

Figure 1.
Figure 1.
Preoperative radiograph showing moderate hallux valgus deformity with hallux valgus and intermetatarsal angles of 30˚ and 15˚, respectively.
Figure 2.
Figure 2.
Postoperative radiograph after distal chevron osteotomy and Akin osteotomy.
Figure 3.
Figure 3.
No radiographic signs of recurrence at 8 weeks after surgery.
Figure 4.
Figure 4.
Right foot radiograph at 6 months after surgery showing slight recurrence (hallux valgus and intermetatarsal angles of 15˚ and 5˚, respectively), widening of the first web space, and subluxation of the first metatarsophalangeal joint.
Figure 5.
Figure 5.
Large neuroma in the first web space.
Figure 6.
Figure 6.
The large neuroma was excised.
Figure 7. A, B.
Figure 7. A, B.
Tangles of peripheral nerve bundles in fibroadipose tissue. The proliferation of peripheral nerve bundles with myxoid change and Pacinian corpuscles, as well as fibrous tissue with myxoid change. (A) Hematoxylin and eosin, 100× and (B) hematoxylin and eosin, 250×.
Figure 8.
Figure 8.
Right foot radiograph at 1 month after the neuroma excision shows a narrowed first web space and improved foot shape.
See this image and copyright information in PMC

References

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