Arterial Anatomy of the Hallucal Sesamoids

Rath, Bjoern and Notermans, Hans-Peter and Frank, Daniel and Walpert, Juergen and Deschner, James and Luering, Christian M. and Koeck, Franz X. and Koebke, Juergen (2009) Arterial Anatomy of the Hallucal Sesamoids. CLINICAL ANATOMY, 22 (6). pp. 755-760. ISSN 0897-3806,

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Abstract

The aim of this study was to analyze the arterial supply of the sesamoid bones of the hallux. Twenty-two feet from adult cadavers were injected with epoxide resin or an acrylic polymer in methyl methacrylate (Acrifix (R)) and subsequently processed by two slice plastination methods and the enzyme maceration technique. Afterwards, the arterial supply of the sesamoid bones was studied. The first plantar metatarsal artery provided a medial branch to the medial sesamoid bone. The main branch of the first plantar metatarsal artery continued its course distally along the lateral side of the lateral sesamoid and supplied it. The supplying arteries penetrated the sesamoid bones on the proximal, plantar, and distal sides. The analysis and cataloging of the microvascular anatomy of the sesamoids revealed the first plantar metatarsal artery as the main arterial source to the medial and lateral sesamoid bones. In addition, the first plantar metatarsal artery ran along the lateral plantar side of the lateral sesamoid bone, suggesting that this artery is at increased risk during soft-tissue procedures such as hallux valgus surgery. Clin. Anat. 22:755-760, 2009. (C) 2009 Wiley-Liss, Inc.

Item Type: Article
Uncontrolled Keywords: CHEVRON OSTEOTOMY; VALGUS; COMPLEX; BONES; sesamoid bones; arterial supply; plastination; first plantar metatarsal artery
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 07 Sep 2020 13:54
Last Modified: 07 Sep 2020 13:54
URI: https://pred.uni-regensburg.de/id/eprint/28433

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