Table 1.

Pearls and Pitfalls

The surgeon should ensure a good outflow.

Radiologic landmarks can be obtained by fluoroscopy if necessary.

Dissection should be carried out step by step in contact with bone.

The surgeon should work laterally to the FHL tendon (the nerve bundle is medial).

Nerve stimulation is checked by holding the foot (assistant).

The surgeon should ensure that the pulley is completely released (lower part).

The surgeon should check whether a bony bump is involved in impingement; excessive resection should be avoided.

The skin must be sutured very carefully to preserve the nerve branches.

NOTE. A summary of essential information based on experience or observation is provided. The items listed are helpful to deal with problems that could be encountered while carrying out the described arthroscopic technique and to be aware of its risk-benefit balance.

FHL, flexor hallucis longus.