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Baxter neuropathy

Case contributed by Yasser Asiri
Diagnosis almost certain

Presentation

Heel pain

Patient Data

Age: 50 years
Gender: Female
mri

MR images show fatty atrophy of the abductor digiti minimi muscle suggestive of Baxter's neuropathy.

Case Discussion

This case illustrates the pathognomonic MRI imaging appearance of the chronic phase of Baxter neuropathy which appears as isolated denervation changes and fatty atrophy of the abductor digiti minimi muscle of the foot. Those patients usually present with heel pain and can mimic plantar fasciitis clinically. Baxter neuropathy is related to inferior calcaneal nerve entrapment due to many causes including calcaneal spur formation and changes related to plantar fasciitis.

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