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Perioperative Posterior Heel Pain Caused by Multiple Etiologies Including a Neuroma in Continuity of the Posterior Branch of the Sural Nerve

A Case Report

Stephen L. Barrett

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Nathan L. Larson Covenant Medical Center, Waterloo, IA.

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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.

Midwestern University, School of Podiatric Medicine, Scottsdale, AZ.

Corresponding author: Stephen L. Barrett, DPM, FACFAS, Adjunct Professor at Midwestern University, School of Podiatric Medicine, 16601 N 40th St, #118, Phoenix, AZ 85032. (E-mail: slbarrettpod@mac.com)