title: Surgical repair of abductor hallucis muscle herniation: a case report.
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.
authors.affiliation: VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA, USA.
authors.forename: Bonnie J
authors.initials: BJ
authors.lastname: Nicklas
authors.forename: Patrick A
authors.initials: PA
authors.lastname: McEneaney
authors.forename: James E
authors.initials: JE
authors.lastname: Lichniak
authors.forename: Robert L
authors.initials: RL
authors.lastname: Baron
authors.forename: Benjamin A
authors.initials: BA
authors.lastname: Brownell
mesh_terms: D006547:Hernia / Q000175:diagnosis; D059685:Herniorrhaphy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D009135:Muscular Diseases / Q000175:diagnosis / Q000601:surgery*; D010146:Pain / Q000209:etiology / Q000601:surgery; D013526:Surgical Mesh