Surgical treatment of superficial peroneal neuroma

Background: Several techniques have been described for the surgical treatment of symptomatic superficial peroneal neuromas, including transection of the nerve with burial in muscle or bone to prevent recurrence. Methods: We compared in 27 consecutive patients the results of transection and burial of the proximal peroneal nerve stump into muscle (group A) with results of transection and burial of the proximal stump into bone (group B). Results: The perceived pain relief and improvement in mean pain score were significantly higher (p < .05) in group B than in group A. In addition, four patients in group A required revision neurotomy compared to none in group B. Conclusion: For symptomatic superficial peroneal neuromas, transection with transposition of the proximal nerve stump into bone provides superior results compared with those of neurotomy with transposition of the proximal stump into muscle.