{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T23:47:58Z","timestamp":1780789678629,"version":"3.54.1"},"reference-count":16,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2011,10,1]],"date-time":"2011-10-01T00:00:00Z","timestamp":1317427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:p> Damage to the dorsomedial branch of the medial dorsal cutaneous nerve is not uncommon in surgery of the hallux. The resultant morbidity can be disabling. In the light of the senior author\u2019s operative observation of a sentinel vein, we undertook a cadaver study to investigate the anatomical relationships of the dorsomedial branch of the medial dorsal cutaneous nerve. This established that in 14 of 16 cadaver great toes exposed via a modified medial incision, there is an easily identified vein which runs transversely superficial and proximal to the nerve. In a prospective clinical study of 171 operations on the great toe using this approach, we confirmed this anatomical relationship in 142 procedures (83%), with no complaint of numbness or pain in the scar at follow-up. We attribute this to careful identification of the \u2018sentinel\u2019 vein and the subjacent sensory nerve, which had been successfully protected from damage. We recommend this technique when operating on the great toe. <\/jats:p>","DOI":"10.1302\/0301-620x.93b10.26547","type":"journal-article","created":{"date-parts":[[2011,10,3]],"date-time":"2011-10-03T19:39:45Z","timestamp":1317670785000},"page":"1373-1376","source":"Crossref","is-referenced-by-count":11,"title":["The sentinel vein"],"prefix":"10.1302","volume":"93-B","author":[{"given":"N.","family":"Makwana","sequence":"first","affiliation":[{"name":"Wrexham Maelor Hospital, Croesnewydd\rRoad, Wrexham LL13 7TD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Hossain","sequence":"additional","affiliation":[{"name":"Wrexham Maelor Hospital, Croesnewydd\rRoad, Wrexham LL13 7TD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Wrexham Maelor Hospital, Croesnewydd\rRoad, Wrexham LL13 7TD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Mbako","sequence":"additional","affiliation":[{"name":"Wrexham Maelor Hospital, Croesnewydd\rRoad, Wrexham LL13 7TD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","unstructured":"Mahadevan V. Pelvic girdle and lower limb. In: Standring S, ed. Gray's anatomy: the anatomical basis of clinical practice. 40th ed. Edinburgh: Churchill Livingstone Elsevier, 2008:1427."},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199408000-00028"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B1.13502"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1016\/S0958-2592(96)90056-5"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B2.0830250"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9584.1998.00085.x"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601701006"},{"key":"r8","first-page":"422","volume":"37","author":"Campbell DA","year":"1992","journal-title":"J R Coll Surg Edinb"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2007.05.004"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1177\/107110078500600103"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1177\/107110078400500102"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1177\/107110078600700209"},{"key":"r13","unstructured":"Hoppenfeld S, DeBoer P. The ankle and foot. In: Hoppenfeld S, DeBoer P, Buckley R, eds. Surgical exposures in orthopaedics: the anatomic approach. Fourth ed. Philadelphia: Lippincott, Williams &\n Wilkins, 2009:683-6."},{"key":"r14","unstructured":"Adams JE, Cass JR, Kitaoka H. Exposures of the great toe. In: Morrey BF, Morrey MC, eds. Master techniques in orthopaedic surgery: relevant surgical exposures. Philadelphia: Lippincott Williams &\n Wilkins, 2008:261-6."},{"key":"r15","unstructured":"Mann RA, Coughlin MJ. Hallux valgus. In: Coughlin MJ, Mann RA, Saltzman CL, eds. Surgery of the foot and ankle. Eighth ed. Vol. 1. Philadelphia: Mosby Elsevier, 2007:239."},{"key":"r16","unstructured":"Richardson EG. Disorders of the hallux. In: Canale ST, Beaty JH, eds. Campbell's operative orthopaedics. Eleventh ed. Vol. 4. Philadelphia: Mosby Elsevier, 2007:4478."}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B10.26547","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.93B10.26547","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B10.26547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:02:05Z","timestamp":1629140525000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.93B10.26547"}},"subtitle":["An anatomical guide to localisation of the dorsomedial cutaneous nerve in hallux surgery"],"short-title":[],"issued":{"date-parts":[[2011,10]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2011,10]]}},"alternative-id":["10.1302\/0301-620X.93B10.26547"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.93b10.26547","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10]]}}}