Document Detail


Neurosensory testing of the medial calcaneal and medial plantar nerves in patients with plantar heel pain.
MedLine Citation:
PMID:  12907926     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighty-two patients with a chief complaint of plantar heel pain were evaluated for sensory abnormalities within the cutaneous distribution of both the medial calcaneal nerve and the medial plantar nerve, using quantitative neurosensory testing with a pressure-specified sensory device. The results showed that 22.68% of the patients displayed isolated abnormal sensory function within the distribution of the medial calcaneal nerve, whereas 49.48% of the patients displayed abnormal function within the distribution of both the medial calcaneal and the medial plantar nerves. Thus, 72.17% of the patients displayed abnormal sensory function within the distribution of the medial calcaneal nerve. Statistical analysis of the results, using the Pearson chi-square statistic and odds ratio, indicated that a significant percentage of patients with plantar heel pain, even early in the clinical course of plantar heel pain, display abnormal sensibility within the branches of the posterior tibial nerve, and specifically, within the distribution of the medial calcaneal nerve (P <.0008) and the medial plantar nerve (P <.0001).
Authors:
Jonathan D Rose; D Scot Malay; Dean L Sorrento
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  42     ISSN:  1067-2516     ISO Abbreviation:  J Foot Ankle Surg     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-08-08     Completed Date:  2003-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  173-7     Citation Subset:  IM    
Affiliation:
Department of Podiatric Surgery, Ankle and Foot Medical Center, Presbyterian Medical Center, University of Pennsylvania Health System, Philadelphia, PA, USA. jdrosedpm@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Calcaneus / innervation*
Fasciitis, Plantar / physiopathology*
Female
Heel
Humans
Male
Middle Aged
Nerve Compression Syndromes / physiopathology*
Neurologic Examination
Pain / physiopathology*
Pressure
Sensation
Tibial Nerve / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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