Sage Journals: Discover world-class research

Abstract

In this article, the authors report a case of tarsal tunnel syndrome caused by neurilemmoma of the first branch of the lateral plantar nerve, with symptom resolved after excision. A 42-year-old man presented with left medial heel pain radiating to the lateral sole for 6 months. On examination, there was positive Tinel sign over the medial heel with pain radiating to the lateral sole. Ultrasonography and magnetic resonance imaging confirmed the presence of a 1-cm neurogenic tumor inside the tarsal tunnel. Intraoperatively, a 1-cm neurilemmoma was found at the first branch of the lateral plantar nerve inside the tarsal tunnel. The lesion was excised completely with preservation of its fascicle. The symptom resolved completely after the operation.

Keywords

tarsal tunnel neurilemmoma schwannoma plantar nerve

Get full access to this article

View all access options for this article.

References

Keck C. The tarsal tunnel syndrome. J Bone Joint Surg Am. 1962;44:180-182.

Takakura Y. , Kitada C. , Sugimoto K. , Tanaka Y. , Tamai S. Tarsal tunnel syndrome: causes and results of operative treatment. J Bone Joint Surg Br. 1991;73:125-128.

Baxter DE , Pfeffer GB Treatment of chronic heel pain by surgical release of the first branch of the lateral plantar nerve. Clin Orthop Relat Res. 1992;279:229-236.

Lui TH Current concepts: foot and ankle arthroscopy and endoscopy: indications of new technique. Arthroscopy. 2007;23(8):889-902.

Lui TH Endoscopic decompression of the first branch of the lateral plantar nerve . Arch Orthop Trauma Surg. 2007;127(9):859-861.

Marui T. , Yamamoto T. , Akisue T. , et al. Neurilemmoma in the foot as a cause of heel pain: a report of two cases. Foot Ankle Int. 2004;25:107-111.

Nawabi DH , Sinisi M. Schwannoma of the posterior tibial nerve: the problem of delay in diagnosis . J Bone Joint Surg Br. 2007;89:814-816.

Tedder JL , Insler HP , Antoine R. Tarsal tunnel syndrome secondary to neurilemmoma. Orthop Rev . 1992;21(5):613-614, 616-617.

Aydin AT , Karaveli S. , Tuzuner S. Tarsal tunnel syndrome secondary to neurilemoma of the medial plantar nerve . J Foot Surg. 1991;30(2):114-116.

10.

Chan LK , Lui TH , Chan KB Anatomy of the portal tract for endoscopic decompression of the first branch of the lateral plantar nerve. Arthroscopy. 2008;24(11): 1284-1288.

11.

Nagaoka M. , Matsuzaki H. Ultrasonography in tarsal tunnel syndrome. J Ultrasound Med . 2005;24:1035-1040.

12.

Kerr R. , Frey C. MR imaging in tarsal tunnel syndrome. J Comput Assist Tomogr . 1991;15:280-286.

13.

Kuo YL , Yao WJ , Chiu HY Role of sonography in the preoperative assessment of neurilemmoma. J Clin Ultrasound. 2005;33:87-89.

14.

Varma DG , Moulopoulos A. , Sara AS , et al. MR imaging of extracranial nerve sheath tumors. J Comput Assist Tomogr. 1992;16:448-453.

15.

Weiss SW , Goldblum JR , Enzinger FM Benign tumours of the peripheral nerves. In: Weiss S , Goldbulum JR , eds. Enzinger and Weiss’s Soft Tissue Tumours. 4th ed. St Louis, MO: Mosby; 2001:1111-1208.

16.

Woodruff JM , Selig AM , Crowley K. , Allen PW Schwannoma (neurilemoma) with malignant transformation: a rare distinctive peripheral nerve tumour. Am J Surg Pathol. 1994;18:882-895.

17.

Russell SM Preserve the nerve: microsurgical resection of peripheral nerve sheath tumours . Neurosurgery. 2007;61:113-118.

18.

Jimenez JC , Sani S. , Braverman B. , Deutsch H. , Ratliff JK Palsies of the fifth cervical nerve root after cervical decompression: prevention using continuous intraoperative electromyography monitoring. J Neurosurg Spine. 2005;3:92-97.

Neurilemmoma of the First Branch of the Lateral Plantar Nerve Causing Tarsal Tunnel Syndrome

Abstract

Keywords

Get full access to this article

References