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Review Question - QID 6217

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QID 6217 (Type "6217" in App Search)
Which of the following structures is most vulnerable during a medial sesamoidectomy of the hallux?

Abductor hallucis tendon

18%

96/536

Intermetatarsal ligament

3%

16/536

Plantar-medial cutaneous nerve of the hallux

60%

322/536

Dorsomedial cutaneous nerve of the hallux

18%

96/536

Crista

0%

2/536

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The plantar-medial cutaneous nerve is at risk with the surgical approach to the medial sesamoid. It is found directly underlying an incision made at the junction of the glabrous skin of the hallux and must be identified before the approach can proceed. Transection will result in a painful neuroma that impinges on the plantar-medial surface of the toe and cause problems with shoe wear. The only other structure that lies near the surgical field is the abductor hallucis tendon which lies dorsal to the incision.

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