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Foot & Ankle Specialist
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Article

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

Ka Bon Kwok, MBBS (HK), MRCS (Edin), Tun Hing Lui, MBBS (HK), FRCS (Edin), FHKAM, FHKCOS*, and Wing Nin Lo, MBChB (CUHK), FRCSEd, FHKAM, FHKCOS

* To whom correspondence should be addressed. E-mail: luithderek{at}yahoo.co.uk.


  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.

First published on October 6, 2009
Foot & Ankle Specialist 2009, doi:10.1177/1938640009349868
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