J Am Podiatr Med Assoc. 2020 Nov 1;110(6). doi: 10.7547/19-188.
We present a 57-year-old female patient with iatrogenic lateral plantar nerve injury caused by endoscopic surgery for plantar fasciitis. Nerve grafting surgery was recommended, but the patient refused further surgical intervention because of personal reasons. After 1-year follow-up in outpatient clinics, she achieved only slight improvement in the lateral foot symptoms and still required oral analgesics for pain control. The purpose of this case report is to remind physicians of such a rare and serious complication that can occur after endoscopic surgery for plantar fasciitis. Good knowledge of anatomy and skilled surgical technique could decrease this type of complication.
我们报告一例 57 岁女性患者,因足底筋膜炎的内镜手术导致医源性外侧足底神经损伤。建议行神经移植手术,但由于个人原因,患者拒绝进一步手术干预。在门诊随访 1 年后,她的外侧足部症状仅略有改善,仍需口服镇痛药控制疼痛。本病例报告旨在提醒医生注意这种罕见且严重的并发症,它可能发生在足底筋膜炎的内镜手术后。充分了解解剖结构和熟练的手术技术可以减少这种类型的并发症。