Abstract Archives of the RSNA, 2014
MKE186
Topographic Relationship and Compression Syndromes of the Plantar Nerves: MR and US with Anatomical Correlation
Education Exhibits
Presented in 2014
Certificate of Merit
Selected for RadioGraphics
Michel De Maeseneer MD, Presenter: Nothing to Disclose
Stefaan Marcelis MD, Abstract Co-Author: Nothing to Disclose
Johan De Mey, Abstract Co-Author: Research Grant, General Electric Company
Maryam Shahabpour MD, Abstract Co-Author: Nothing to Disclose
Erik Cattrysse, Abstract Co-Author: Nothing to Disclose
1. Describe topographic relationships of the plantar nerves relative to tendons and muscles along the plantar aspect of the foot.
2. Correlate MR and US with cadaveric images.
3. Discuss compression areas and syndromes related to this anatomy.
Branches of the posterior tibial nerve:
-Medial calcaneal nerve.
-Inferior calcaneal nerve.
-Medial and lateral plantar nerves.
Topographic relationships of the medial plantar nerve (assessed systematically in 6 levels)
-Sustentaculum tali.
-Between abductor hallucis and quadratus plantae.
-Knot of Henry level (‘triangle sign’).
-Between flexor brevis tendons, abductor hallucis.
-Between flexor tendons and flexor digitorum brevis muscle.
-Between flexor tendons.
Topographic relationships of the lateral planter nerve (assessed systematically in 5 levels)
-Between abductor hallucis and quadratus plantae.
-Between flexor brevis and quadratus plantae.
-Between flexor brevis and abductor digiti minimi.
-Between peroneus longus, flexor brevis and abductor digiti minimi.
-Between flexor tendons.
Interdigital nerves (assessed in 2 levels)
-Superficial to transverse ligament at web space.
-Between digits.
Specific compression syndromes
Jogger’s heel.
Jogger’s foot.
Abductor hallucis syndrome.
Joplin.
Baxter’s syndrome.
Morton’s neuroma.
http://abstract.rsna.org/uploads/2014/14005933/14005933_5g9q.pdf
De Maeseneer, M,
Marcelis, S,
De Mey, J,
Shahabpour, M,
Cattrysse, E,
Topographic Relationship and Compression Syndromes of the Plantar Nerves: MR and US with Anatomical Correlation. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005933.html