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Transection of the Plantar Plate and the Flexor Digitorum Longus Tendon of the Fourth Toe as a Complication of Endoscopic Treatment of Interdigital NeuromaA Case Report
James W. Brodsky, MD1; Roger N. Passmore, MD1; Shay Shabat, MD1
1 Tom Landry Sports Medicine and Research Center, Baylor University Medical Center, 411 North Washington Avenue, Suite 7000, Dallas, TX 75246. E-mail address for J.W. Brodsky: jbrodsky@dallasortho.com. E-mail address for R.N. Passmore: rpbones@hotmail.com. E-mail address for S. Shabat: drshabat@hotmail.com
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Orthopaedic Surgery, Baylor University Medical Center, Dallas, Texas

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Oct 01;86(10):2299-2301
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Applications of endoscopic surgery of the foot and ankle are expanding and include plantar fasciotomy1-7, release of the transverse metatarsal ligament8, incision of the posterior tibial tendon sheath9, calcaneoplasty10,11, decompression of the retrocalcaneal bursa12, suture of a torn Achilles tendon13,14, release of the Achilles peritenon15, and endoscopic gastrocnemius recession16. There are, however, relatively few reports of complications following endoscopic foot surgery2,17-19. Even in a recent review dealing with complications of arthroscopy of the foot, there was no mention of inadvertent injury to the plantar plate or flexor tendons20. To our knowledge, no reports of complications following attempted release of the transverse metatarsal ligament for treatment of interdigital neuroma have been published.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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