» Chronic pain is a common and unfortunate complaint in patients with lower extremity pathology.
Peripheral nerve pathology can often be perplexing and go undiagnosed. These patients may have a sudden onset of symptoms after a new exercise routine, motor vehicle collision, history of trauma or a prior surgery. Neuropathic symptoms are debilitating to patients, affecting their activities of daily living and quality of life. Patients are looking for answers to the cause of their pain and the treatment options available to them. Consults to other services are often necessary to determine the etiology of the pain. A multidisciplinary, interprofessional approach is needed in order to ensure that the provider has all the pertinent information required to address the peripheral nerve injury. The condensations and commentaries within this issue take a close look at some of the cutting-edge surgical options currently available.
Podiatric literature has historically focused on orthopedic pathology, in which patients have an abundance of musculoskeletal abnormalities. As a result, the peripheral nerve and plastic surgery literature does not have as large of a presence within the podiatric journals, although patients can have concomitant orthopedic and lower extremity peripheral nerve pathology diagnoses.
I am honored to be the Guest Editor for this issue of Foot and Ankle Quarterly on Microneurosurgery, and am immensely grateful for the support from the Editor-in-Chief, Dr. Stephanie Wu and my colleagues at the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, for contributing their time and input to this important subject. Our goal is to bring awareness to lower extremity peripheral nerve pathology, tips and pearls to clinically assess, identify and address a peripheral nerve injury, and to introduce knowledge of the surgical options available.
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Article Authors and Lecturers
Sitong Chen, DPM (n.)
Edgardo R. Rodriguez-Collazo, DPM (n.)
Leland Jaffe, DPM (n.)
Erin Klein, DPM (n.)
Darrell R. Latva, DPM (n.)
Prathiba Patel, DPM (n.)
Lauren L. Schnack, DPM (1. Data Trace Publishing Co.)
Ashka Trivedi, DPM (n.)
Qeena C. Woodard, DPM (n.)
FAQ Journal Planning Committee
Chrissy Wesolowski (n.)
Lauren Molander (n.)
Stephanie Wu, DPM, MSc (n.)
Foot and Ankle Quarterly
34-1 Contributors
Guest Editor
Lauren L. Schnack, DPM, MS, AACFAS, FACPM Assistant Professor, Fellowship Trained Podiatric Surgeon, Department of Podiatric Medicine and Surgery, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, IL
Contributors
Sitong (Tom) Chen, DPM Fellow, Complex Deformity Correction and Limb Reconstruction, Department of Surgery, Ascension Saint Joseph Hospital Chicago, Chicago, IL; Associate, American College of Foot and Ankle Surgeons
Leland Jaffe, DPM, FACFAS, CWSP Associate Dean, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University, North Chicago, IL
Erin E. Klein, DPM, MS
Clinical Instructor, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University, North Chicago, IL; Fellow, American Board of Foot and Ankle Surgery; Fellow, American Board of Podiatric Medicine; Physician Owner and Associate Director of Research, Weil Foot and Ankle Institute; Chicago, IL
Darrell R. Latva, DPM
Associate Professor, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University, North Chicago, IL; Diplomate, American Board of Foot and Ankle Surgery and American Board of Podiatric Medicine
Pratibha Patel, DPM, FACPM Assistant Professor, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University, North Chicago, IL; Fellow, American Board of Podiatric Medicine
Edgardo R. Rodriguez-Collazo, DPM
Director of Outreach Strategies, Dean’s Office, William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, IL; Board Member and Fellow, Association of Extremity Nerve Surgeons; Founder and Advisory Board Member, American Microsurgical Orthoplasty Society; Adult and Pediatric Ilizarov Limb Deformity Correction, Peripheral Nerve Reconstruction Microsurgery, Department of Surgery, Ascension Saint Joseph – Chicago, Chicago, IL
Ashka Trivedi, DPM Assistant Professor, Department of Medicine and Science, Rosalind Franklin University of Medicine and Science, North Chicago, IL
Qeena C. Woodard, DPM, FACFAS, FACPM, CWS Associate Professor, Podiatric Medicine and Surgery Department, Associate Dean of Clinical Experiences, Dr. William M. Scholl College of Podiatric Medicine, North Chicago, IL; Associate, Private Practice, Smith Centers for Foot and Ankle Care, Chicago, IL; Fellow, American College of Foot and Ankle Surgery; Fellow, American Board of Podiatric Medicine; Certified Wound Specialist, American Board of Wound Healing
In this Issue:
FEATURE ARTICLE: The Influence Peripheral Nerve Surgery on Chronic Pain
Lauren L. Schnack, DPM, MS
CONDENSATIONS and COMMENTARIES
Implantable Neuromodulation Device in the Lower Limb: An Adjunctive Procedure in Patients with Continued Chronic Pain after Failed Revisional Microneurosurgical Procedure in a Nonreconstructable Zone of Injury
Commentary by Erin Klein, DPM
Evaluation and Treatment of Foot Drop Using Nerve Transfer Techniques
Commentary by Ashka Trivedi, DPM
An Updated Nerve Sparing Surgical Technique for Addressing Morton’s Neuroma
Commentary by Leland Jaffe, DPM
Surgical Treatment Protocol for Peripheral Nerve Dysfunction of the Lower Extremity: A Systematic Approach
Commentary by Qeena C. Woodard, DPM
Conduit-Assisted Allograft Neurorrhaphy for the Treatment of Intractable Lower Extremity Pain Due to Neuromas-in-Continuity
Commentary by Sitong (Tom) Chen, DPM
Regenerative Peripheral Nerve Interface for the Treatment of Iatrogenic Neuroma-in-Continuity Cases in the Foot: Two Case Reports
Commentary by Qeena C. Woodard, DPM
Reset Neurectomy for Cutaneous Nerve Injuries
Commentary by Ashka Trivedi, DPM
Saphenous Nerve to Posterior Tibial Nerve Transfer: A New Approach to Restore Sensations of Sole in Diabetic Sensory Polyneuropathy
Commentary by Darrell R. Latva, DPM
Damage to the Superficial Peroneal Nerve in Operative Treatment of Fibula Fractures: Straight to the Bone? Case Report and Review of the Literature
Commentary by Pratibha Patel, DPM
Targeted Muscle Reinnervation in the Lower Leg: An Anatomical Study
Commentary by Edgardo R. Rodriguez-Collazo, DPM
AUDIO LECTURE 1: Identifying Lower Extremity Peripheral Nerve Pathology in the Office
Lauren L. Schnack, DPM, MS
AUDIO LECTURE 2: Surgically Addressing Peripheral Nerve Pathology
Lauren L. Schnack, DPM, MS