Sesmoid Injuries of the Halex

The plantar medial cutaneous nerve is at risk with the surgical approach to the medial sasmoid. Transsection will result in a painful nauroma that impinges on the plantar medial surface of the toe and causes problems with shoe wear. The yother structure that lies near the surgical field is the abductor halis tendon, which lies dorsal to the incision. Excision of the tibial sesmoid alone can lead to halex valgus. And excision of both ssmoids should always be avoided since it can lead to a cock up erm.