 The head of the proximal phalanx was taken with the Adson-Brown and using a #15 blade, the plantar periosteal tissue was freed up and the head was removed and sent to pathology. 
The head of the proximal phalanx was taken with the Adson - Brown and using a # 15 blade , the plantar periosteal tissue was freed up and the head was removed and sent to pathology .