Document Detail

Bilateral Baxter's neuropathy secondary to plantar fasciitis.
MedLine Citation:
PMID:  20357723     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Baxter's neuropathy is a nerve entrapment syndrome that results from the compression of the inferior calcaneal nerve. The causes of Baxter's neuropathy include altered foot biomechanics such as flatfoot, plantar calcaneal enthesophytes, and plantar fasciitis. Baxter's neuropathy and causative pathologies such as plantar fasciitis can be identified with the help of typical MRI findings.
CASE REPORT: In this report, bilateral Baxter's neuropathy developed in a 42-year-old woman secondarily to bilateral plantar fasciitis. On MR images, fatty atrophy of the abductor digiti minimi muscles was found in both feet, revealing high-signal areas in the T1-weighted images and low-signal areas in the T2-weighted images. Additionally, findings of plantar fasciitis were observed in both feet.
CONCLUSIONS: To the authors' knowledge, no case of bilateral Baxter's neuropathy secondarily to plantar fasciitis has been reported. Baxter's neuropathy and causative disorders are easily recognized with help of typical MRI findings. Selective fatty atrophy of the abductor digiti minimi muscle is the unique sign of this neuropathy. Recognition of unique MRI findings of this rare condition that can cause heel pain are important since they provide an effective treatment plan.
Berna Dirim; Donald Resnick; Nesibe Kurt Ozenler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  16     ISSN:  1643-3750     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-01     Completed Date:  2010-08-05     Revised Date:  2011-06-14    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CS50-53     Citation Subset:  IM    
Department of Radiology, Izmir Ataturk Training and Research Hospital, 35100 Izmir, Turkey.
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MeSH Terms
Calcaneus / innervation
Fascia / pathology
Fasciitis, Plantar / complications*,  diagnosis*
Foot / pathology
Foot Diseases / diagnosis,  pathology
Magnetic Resonance Imaging / methods
Muscle, Skeletal / pathology
Nerve Compression Syndromes / complications*,  diagnosis*
Treatment Outcome

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