Heel Neuroma: A Case Study

Plotkin, David; Patel, Dixit; Roberto, Ted

doi:10.1053/j.jfas.2009.01.013

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…The calcaneal branches of the sural nerve supply exclusively sensory innervation to the lateral portion of the calcaneus and impingement of these branches would result in little clinical importance [16]. Painful neuroma formation does remain a possibility but this can be addressed surgically at a later sitting [17].…”

Section: Discussionmentioning

confidence: 99%

Monoaxial external fixation of the calcaneus: An anatomical study assessing the safety of monoaxial pin insertion

Thomson

Esparon

Rea

et al. 2016

Injury

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The use of external fixation for intra-articular calcaneal fractures is increasing in popularity. Studies have shown fine wire and monoaxial external fixation to be a viable surgical alternative to more invasive methods of open reduction and internal fixation of the calcaneus. However, there is an absence of literature that quantifies the risk of pin insertion for monoaxial fixation.This study aimed to determine the safety of inserting monoaxial pins within the calcaneus to house the Orthofix Calcaneal Mini-Fixator. Five formalin embalmed cadaveric ankle and lower leg specimens were inserted with six monoaxial pins. Careful dissection then revealed the presence of the tendons of peroneus longus and brevis, the sural nerve and the small saphenous vein in relation to these pins. Measurements from each pin to each of these structures were made as the structures transected lines drawn from each pin to two palpable bony landmarks: the inferior tip of the lateral malleolus and the posterosuperior calcaneus. In doing this, the risk posed by each pin could be evaluated. We found that two particular pins, those used to hold the articular surface of the subtalar joint in a reduced position, posed a larger risk of injury to surrounding structures than the remaining pins. These findings therefore suggest that monoaxial fixation of the calcaneus using a six pin approach is a relatively safe method of rectifying calcaneal fractures and thus may serve as a welcome alternative to other methods of calcaneal fixation.

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Section: Discussionmentioning

confidence: 99%

Monoaxial external fixation of the calcaneus: An anatomical study assessing the safety of monoaxial pin insertion

Thomson

Esparon

Rea

et al. 2016

Injury

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“…Because the branches of the MCN usually lie superficial to the intrinsic foot muscles and plantar fascia, subsequently, they are likely to be traumatized and irritated following heel fat pad atrophy [13,27]. Repetitive trauma to the heel can lead to extraneural, as well as, intraneural fibrosis involving the MCN [28]. It could be affected by direct trauma to the heel which lead to contusion and the bleeding is healed by adhesions and perineural fibrosis [5].…”

Section: Thementioning

confidence: 99%