What does the Myerson procedure involve?

What does the Myerson procedure involve?

• A. Use of EHB in correction of HAV
• B. Transfer of FDL tendon
• C. Scarf osteotomy
• D. Keller procedure

Answer: (A)

The Myerson procedure is a soft-tissue approach to correcting hallux valgus that uses the extensor hallucis brevis tendon to realign the great toe. By transferring or re-routing the EHB, the procedure rebalances the pull across the first MTP joint, helping to centralize the hallux and reduce valgus deforming forces without performing a bony osteotomy. This contrasts with bony procedures like scarf osteotomy or joint replacements like the Keller, and with other tendon transfers such as FDL, which target different deformities. In short, the key move is using the extensor hallucis brevis tendon to restore soft-tissue balance around the first MTP joint to correct HAV.

The Myerson procedure is a soft-tissue approach to correcting hallux valgus that uses the extensor hallucis brevis tendon to realign the great toe. By transferring or re-routing the EHB, the procedure rebalances the pull across the first MTP joint, helping to centralize the hallux and reduce valgus deforming forces without performing a bony osteotomy. This contrasts with bony procedures like scarf osteotomy or joint replacements like the Keller, and with other tendon transfers such as FDL, which target different deformities. In short, the key move is using the extensor hallucis brevis tendon to restore soft-tissue balance around the first MTP joint to correct HAV.