Exploring Leg & Foot Anatomy for Mohs Surgeons

In this session, Dr. Sama Carly provides an in-depth overview of the anatomy of the leg and foot, specifically for Mohs surgeons. With her extensive background from esteemed institutions, she guides participants through the lower leg anatomy, emphasizing the importance of understanding muscular and neurovascular structures deeply situated, unlike in the head and neck region where vital nerves are more superficial. She highlights significant anatomical landmarks like the femoral triangle and the popliteal fossa, as well as discusses potential dangers posed by nerves at the medial and lateral malleoli. Dr. Carly emphasizes using the anatomy knowledge to confidently excise tumors while minimizing complications to surrounding structures, advocating for the use of local and regional anesthesia, particularly focusing on ankle and metatarsal blocks instead of traditional methods to avoid collateral damage and improve patient outcomes. The session concludes with practical tips on nerve targeting for effective anesthesia and avoiding the use of contraindicated techniques. Overall, the presentation serves as both a refresher on anatomy and a guide for improving surgical practice in Mohs surgery of the lower extremities.