Surgical Repair of Abductor Hallucis Muscle Herniation: A Case Report.

Summary of "Surgical Repair of Abductor Hallucis Muscle Herniation: A Case Report."

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.


Staff Podiatrist, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA.

Journal Details

This article was published in the following journal.

Name: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
ISSN: 1542-2224
Pages: 488.e5-488.e9


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