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In this procedure, the affected toe is anesthetized with a digital block and a tourniquet is applied. An incision is made proximally from the base of the nail about 5 mm (leaving the nail bed intact) then extended toward the side of the toe/toenail in an elliptical sweep to end up under the tip of the nail about 3–4 mm in from the edge.
The three common digital nerves (nn. digitales plantares communes) pass between the divisions of the plantar aponeurosis, and each splits into two proper digital nerves—those of the first common digital nerve supply the adjacent sides of the great and second toes; those of the second, the adjacent sides of the second and third toes; and those of the third, the adjacent sides of the third and ...
The intermediate dorsal cutaneous nerve divides into four dorsal digital branches, which supply the medial and lateral sides of the third and fourth, and of the fourth and fifth toes. The lateral dorsal cutaneous nerve from the sural nerve turns into a dorsal digital nerve and supplies the lateral side of the fifth toe.
The common plantar digital nerves of medial plantar nerve are nerves of the foot. The three common digital nerves (nn. digitales plantares communes) pass between the divisions of the plantar aponeurosis, and each splits into two proper digital nerves: Those of the first common digital nerve supply the adjacent sides of the great and second toes;
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Gel toe spacers come in a variety of sizes and shapes. Orthotics are splints or regulators while conservative measures include various footwear like toe spacers, valgus splints, and bunion shields. Toe spacers seem to be effective in reducing pain, but there is no evidence that any of these techniques reduces the physical deformity.
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