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.
Level of Clinical Evidence
Key Words
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Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
