Perioperative posterior heel pain caused by multiple etiologies including a neuroma in continuity of the posterior branch of the sural nerve: a case report

J Am Podiatr Med Assoc. 2014 May;104(3):283-6. doi: 10.7547/0003-0538-104.3.283.

Abstract

Posterior heel pain after a prior Haglund's deformity surgical correction can be resultant to multiple etiologies: osseous, tendinous, and neural. In this case report, all three potential etiologies were found to be contributing to the postoperative status of the patient. This case report illustrates identification and treatment of a neuroma in continuity of the posterior branch of the sural nerve with preservation of the sural nerve itself via microdissection, which we believe has not been described previously in the literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Calcaneus / diagnostic imaging
  • Calcaneus / physiopathology
  • Calcaneus / surgery
  • Chronic Pain / diagnosis
  • Chronic Pain / etiology*
  • Chronic Pain / surgery
  • Female
  • Follow-Up Studies
  • Foot Deformities, Congenital / complications
  • Foot Deformities, Congenital / diagnosis
  • Foot Deformities, Congenital / surgery*
  • Heel / physiopathology*
  • Heel / surgery
  • Humans
  • Neuroma / complications
  • Neuroma / diagnosis
  • Neuroma / surgery*
  • Orthopedic Procedures / adverse effects*
  • Orthopedic Procedures / methods
  • Pain Measurement
  • Perioperative Care
  • Postoperative Complications / diagnosis
  • Radiography
  • Risk Assessment
  • Sural Nerve / physiopathology*
  • Sural Nerve / surgery
  • Treatment Outcome