Midfoot - Dorsolateral Approach
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Midfoot - Dorsolateral Approach

This Midfoot – Dorsolateral Approach course will teach you:

  • To access the following bones of the midfoot:
    • the cuboid and calcaneocuboid joint
    • the 5th and/or 4th metatarsal, or its adjacent joints.

Special attention is paid to the following hazards you may encounter during the Midfoot – Dorsolateral Approach:

  • Sural nerve branches injury
  • Fibularis brevis tendon injury

With the following tips you might perform the Midfoot – Dorsolateral Approach even better:

  • Sural nerve branch isolation
  • Foot fasciotomy in case of compartment syndrome
  • Facilitating muscles and tendon retraction
  • Thickness of the dissection layer
  • Increasing exposure to calcaneus/cuboid by retracting the extensor digitorum brevis tendon
  • Better exposure of the 4th tarsometatarsal joint and/or the 5th tarsometatarsal joint
  • Optimal access to the lateral malleolus, the posterior part of the subtalar joint and the calcaneocuboid joint
  • Deep fascia closure

After studying the Midfoot – Dorsolateral Approach course you are familiar with the most common complications:

  • Foot compartment syndrome
  • Wound complications
  • Post-traumatic arthritis
  • Sural nerve branch injury
  • Foot deformity
  • Delayed union

You might also be interested in:
Midfoot – Medial Approach
Midfoot – Anterior Approach

Step by step

Superficial Dissection

Skin

Identify

Identify the following landmarks on the skin: the base of the 4th and 5th metatarsal; the lateral malleolus and the tarsal sinus.

Mark

Mark the skin starting at the base of the 4th metatarsal and ending 1 cm inferior to the tarsal sinus.

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