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Review
. 2023 Jul 25;8(3):24730114231188125.
doi: 10.1177/24730114231188125. eCollection 2023 Jul.

Republication of "Treatment of Postsurgical Neuroma in Foot and Ankle Surgery"

Nathan R Hendrickson  1 , Christopher C Cychsoz  1 , Craig C Akoh  1 , Phinit Phisitkul  1
Affiliations
Review

Republication of "Treatment of Postsurgical Neuroma in Foot and Ankle Surgery"

Nathan R Hendrickson et al. Foot Ankle Orthop. .
No abstract available

Keywords: neurectomy; neuroma; neuropathic pain.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. ICMJE forms for all authors are available online.

Figures

Figure 1.
Figure 1.
Operative photograph of a superficial peroneal nerve neuroma demonstrating dissection of neuroma in continuity of the superficial peroneal nerve. The disorganized sprouting of nerve growth cones led to a bulbous neuroma that was adherent to adjacent scar tissue. The patient presented with persistent neuropathic pain in the superficial peroneal nerve and hypersensitivity in the area overlying the neuroma. A positive Tinel sign was noted during examination.
Figure 2.
Figure 2.
Peripheral neuroma can be diagnosed by the presence of a positive Tinel sign, the presence of paresthesias or lancinating pain elicited by palpation or percussion over a peripheral nerve. The diagnosis is further supported by temporary relief from diagnostic nerve block. Symptoms typically respect peripheral nerve distributions, but may extend into adjacent distributions as well.
Figure 3.
Figure 3.
Cadaver preparation demonstrating the course of the superficial peroneal (branches labeled SP#) and sural nerve (branches labeled SB# and ST#), and their sensory branches. Superficial peroneal nerve and sural nerve are common sites of neuroma formation because of superficial location placing them at risk for trauma, and also surgical approaches to the ankle that require identification and dissection adjacent to the nerve branches.
See this image and copyright information in PMC

Corrected and republished from

  • doi: 10.1177/2473011418779559

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