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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):928-934.
Plantar Nerve Injuries Related to Calcaneal Fractures.
Lee, Jongmin , Jeon, Jae Yong , Ryu, Gi Hyeong , Sim, Yeong Ju , Choi, Jung Min
Department of Rehabilitation Medicine, Dongguk University College of Medicine, Korea. mform1003@medimail.co.kr
종골 골절과 동반된 족척신경 손상
이종민, 전재용, 류기형, 심영주, 최정민
동국대학교 의과대학 재활의학교실
Abstract
Objective
We investigated plantar nerve injuries associated with calcaneal fracture and severity of disability.


Method
From July, 2001 to June, 2002, twelve patients who had calcaneal fractures with persistent foot pain and paresthesia were included in our study. We examined electromyography for medial and lateral plantar nerve, inferior calcaneal nerve, also evaluated types of calcaneal fracture and severity of pain and disability with nerve injury.


Results
The intraarticular types were 13 cases, extraarticular type was 1 case and communited types were 2 cases. In the electromyographic findings, the 9 cases were diagnosed as neuropathy. In a cases with neuropathy, 8 persons complained over moderate degree of pain and all persons complained over moderate degree of walking disability. However one of three persons without neuropathy complained over moderate degree of walking disability. So disability tended to be more severe in cases with neuropathy.


Conclusion
We think that neuropathy associated with calcaneal fracture is a cause of aggravation of pain and walking disability, and electromyography for nerves of foot will be needed in the calcaneal fracture. (J Korean Acad Rehab Med 2003; 27: 928-934)

Key Words: Inferior calcaneal nerve, Calcaneal fracture, Pain, Nerve injury, Disability
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