Anatomical study of the medial calcaneal nerve using high-resolution ultrasound.
Adult
Cadaver
Heel
Neuroma
Ultrasound
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
28
10
2022
accepted:
26
02
2023
revised:
10
02
2023
medline:
21
9
2023
pubmed:
20
5
2023
entrez:
20
5
2023
Statut:
ppublish
Résumé
To determine whether high-resolution ultrasound (US) can identify the course and relations of the medial calcaneal nerve (MCN). This investigation was initially undertaken in eight cadaveric specimens and followed by a high-resolution US study in 20 healthy adult volunteers (40 nerves) by two musculoskeletal radiologists in consensus. The location and course of the MCN as well as its relationship to adjacent anatomical structures were evaluated. The MCN was consistently identified by US along its entire course. The mean cross-sectional area of the nerve was 1 mm High-resolution US can identify the MCN at the level of the medial retromalleolar fossa, as well as more distally in the subcutaneous tissue at the surface of the abductor hallucis fascia. In the setting of heel pain, precise sonographic mapping of the MCN course may enable the radiologist to make diagnosis of nerve compression or neuroma, and perform selective US-guided treatments. In the setting of heel pain, sonography is an attractive tool for diagnosing compression neuropathy or neuroma of the medial calcaneal nerve, and enables the radiologist to perform selective image-guided treatments such as diagnostic blocks and injections. • The MCN is a small cutaneous nerve which rises from the tibial nerve in the medial retromalleolar fossa to the medial side of the heel. • The MCN can be depicted by high-resolution ultrasound along its entire course. • In the setting of heel pain, precise sonographic mapping of the MCN course may enable the radiologist to make diagnosis of neuroma or nerve entrapment, and perform selective ultrasound-guided treatments such as steroid injection or tarsal tunnel release.
Identifiants
pubmed: 37209124
doi: 10.1007/s00330-023-09699-6
pii: 10.1007/s00330-023-09699-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
7330-7337Informations de copyright
© 2023. The Author(s), under exclusive licence to European Society of Radiology.
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