Neuromas of the Calcaneal Nerves

A neuroma of a calcaneal nerve has never been reported. A series of 15 patients with heel pain due to a neuroma of a calcaneal nerve are reviewed. These patients previously had either a plantar fasciotomy (n = 4), calcaneal spur removal (n = 2), ankle fusion (n = 2), or tarsal tunnel decompression (...

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Bibliographic Details
Published in:Foot & ankle international 2001-11, Vol.22 (11), p.890-894
Main Authors: Kim, Jaesuk, Dellon, A. Lee
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Foot - surgery
Foot Diseases - surgery
Heel - innervation
Heel - surgery
Humans
Male
Middle Aged
Neuroma - surgery
Pain - etiology
Pain - surgery
Postoperative Complications
Treatment Outcome
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Summary:A neuroma of a calcaneal nerve has never been reported. A series of 15 patients with heel pain due to a neuroma of a calcaneal nerve are reviewed. These patients previously had either a plantar fasciotomy (n = 4), calcaneal spur removal (n = 2), ankle fusion (n = 2), or tarsal tunnel decompression (n = 7). Neuromas occurred on calcaneal branches that arose from either the posterior tibial nerve (n = 1), lateral plantar nerve (n = 1), the medial plantar nerve (n = 9), or more than one of these nerves (n = 4). Operative approach was through an extended tarsal tunnel incision to permit identification of all calcaneal nerves. The neuroma was resected and implanted into the flexor hallucis longus muscle. Excellent relief of pain occurred in 60%, and good relief in 33%. One patient (17%) had no improvement and required resection of the lateral plantar nerve. Awareness that the heel may be innervated by multiple calcaneal branches suggests that surgery for heel pain of neural origin employ a surgical approach that permits identification of all possible calcaneal branches.
ISSN:1071-1007
1944-7876
DOI:10.1177/107110070102201106