Dynamic Ultrasound Assessment and Guided Medial Plantar Nerve Hydrodissection for Master Knot of Henry Syndrome.

Wei-Ting Wu, Levent Özçakar, Ke-Vin Chang

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Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Wei-Ting WuDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 100006, Taiwan.ORCID 0000-0001-7511-9629

Levent ÖzçakarDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical School, 06100 Ankara, Turkey.ORCID 0000-0002-2713-4071

Ke-Vin ChangDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 100006, Taiwan.ORCID 0000-0002-7558-5651

Funding

Ministry of Science and Technology, Taiwan MOST 106-2314-B-002-180-MY3Ministry of Science and Technology, Taiwan MOST 109-2314-B-002-114-MY3National Science and Technology, Taiwan NSTC 112-2314-B-002-134National Science and Technology, Taiwan NSTC 113-2314-B-002 -208 -MY2National Science and Technology, Taiwan NSTC 113-2314-B-002 -209 -MY2

6 · The paper itself

Abstract

A 27-year-old female presented with persistent right medial plantar pain that developed over six months following an ankle sprain. The pain, described as sharp and radiating to the toes, progressively worsened, affecting her ability to walk. An initial ultrasound examination suggested medial plantar nerve compression by a lipoma, prompting her referral for ultrasound-guided hydrodissection. During the pre-procedure assessment, sono-palpation (palpation using the ultrasound transducer) localized the pain to the Master Knot of Henry-where the medial plantar nerve, artery, and flexor tendons intersect. No lipoma but a normal fat pad was observed. Ultrasound-guided hydrodissection with 5% dextrose mixed with lidocaine and saline was performed. After two sessions, her pain significantly decreased, with her visual analogue scale score dropping from 8 to 5 after the first session and to 2 after the second, allowing her to resume normal activities. This case highlights the value of ultrasound in accurately diagnosing and treating conditions involving the Master Knot of Henry.

Indexed as

ankledextroseentrapmentpainultrasonography

Identifiers

PMID39451589

DOI10.3390/diagnostics14202266

PMCPMC11506530

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