Neuromas of the calcaneal nerves

Jaesuk Kim, A. Lee Dellon, Jaesuk Kim, A. Lee Dellon

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)890-894
Number of pages5
JournalFoot and Ankle International
Volume22
Issue number11
DOIs
StatePublished - 2001
Externally publishedYes

Keywords

  • Calcaneal Nerve
  • Heel Pain
  • Neuroma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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