Neurilemmoma in the foot as a cause of heel pain: a report of two cases.
Two cases of deep-seated neurilemmoma that arose from plantar branches of the posterior tibial nerve and caused chronic heel pain are described. At the initial examination, one case was misdiagnosed as tarsal tunnel syndrome and the other was overlooked as plantar fasciitis; both cases were treated for long periods prior to operation. Deep-seated neurilemmomas in the foot can easily be overlooked and misdiagnosed as tarsal tunnel syndrome or plantar fasciitis because of the rarity, absence of palpable mass, and similarity of symptoms to those of other frequently encountered foot disorders. Magnetic resonance imaging provides the best modality for differential diagnosis. In the present cases, surgical excision of the tumors resulted in immediate and complete relief of chronic heel pain. Surgeons should consider neurilemmoma as a cause of persistent chronic heel pain despite the rarity of the disease.
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. tmarui@med.kobe-u.ac.jp
Takashi
T
Marui
Tetsuji
T
Yamamoto
Toshihiro
T
Akisue
Toshiaki
T
Hitora
Teruya
T
Kawamoto
Keiko
K
Nagira
Shinichi
S
Yoshiya
Masahiro
M
Kurosaka
D000368:Aged; D002908:Chronic Disease; D003951:Diagnostic Errors; D005260:Female; D005534:Foot Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006365:Heel; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010146:Pain / Q000209:etiology*; D013641:Tarsal Tunnel Syndrome / Q000150:complications / Q000175:diagnosis