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Unusual Presentation of Traumatic Neuroma of the Medial Plantar Nerve after Deep Laceration Mimicking a Foreign Body Granuloma: A Case Report

이물 육아종으로 오인된 심부 열상 이후 발생한 비정상적인 내측 족저 신경의 외상성 신경종: 증례 보고

  • Woo, Seung Hun (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Kim, Tae Woo (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Bae, Jung Yun (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine)
  • 우승훈 (부산대학교 의과대학 양산부산대학교병원 정형외과학교실) ;
  • 김태우 (부산대학교 의과대학 양산부산대학교병원 정형외과학교실) ;
  • 배정연 (부산대학교 의과대학 양산부산대학교병원 정형외과학교실)
  • Received : 2017.08.07
  • Accepted : 2017.10.23
  • Published : 2017.12.15

Abstract

Traumatic neuromas are rare benign tumors that are common after trauma or surgery and are usually accompanied by obvious symptoms of pain. Most reports show neuromas in the face, neck, and limbs, and the traumatic neuroma of the medial plantar nerve has rarely been reported. We encountered a traumatic neuroma of the medial plantar nerve after a deep laceration mimicking a foreign body granuloma. A small mass lesion was found around plantar aponeurosis with heterogeneous high signal intensity in the T2 fat suppression view and slightly enhanced intensity in the magnetic resonance imaging that suggested a foreign body granuloma. The lesion was diagnosed pathologically as a traumatic neuroma. A satisfactory clinical result was obtained after excision of the traumatic neuroma and burial of the proximal and distal stumps to the adjacent muscle at the secondary operation.

Keywords

References

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