scholarly journals An Unusual Presentation of Tarsal Tunnel Syndrome Caused by an Inflatable Ice Hockey Skate

2002 ◽  
Vol 29 (4) ◽  
pp. 386-389 ◽  
Author(s):  
B.V. Watson ◽  
H. Algahtani ◽  
R.J. Broome ◽  
J.D. Brown
Keyword(s):  
Conduction Block ◽  
Ice Hockey ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Lateral Plantar Nerve ◽  
Sharp Waves ◽  
Electrophysiological Studies ◽  
Tunnel Syndrome ◽  
Local Injury

Background:Tarsal tunnel syndrome is a rare form of entrapment neuropathy. In athletes, it is usually the result of repetitive activity, local injury or a space-occupying lesion. Rarely, athletic footwear has been described as the primary cause of this syndrome.Methods:A 37-year-old male recreational hockey player was examined clinically and electrophysiologically because of spreading numbness in the toes of his left foot while playing hockey and wearing inflatable ice hockey skates designed to promote a better fit.Results:Clinical and electrophysiological studies revealed evidence of left medial and lateral plantar nerve involvement. Reduced amplitudes of mixed and motor plantar nerve responses with fibrillation potentials and positive sharp waves and no evidence of conduction block suggest that the primary pathology was axonal loss. Follow-up examination showed significant clinical and electrophysiological improvement after the patient stopped wearing his inflatable ice hockey skates.Conclusion:We report an unusual case of tarsal tunnel syndrome caused by an inflatable ice hockey skate. The patient improved clinically and electrophysiologically when he stopped wearing the boot.

P30-22 A focal conduction block in a case of tarsal tunnel syndrome

2010 ◽  
Vol 121 ◽  
pp. S284-S285
Author(s):  
D.F. Almeida ◽  
S.F. Zuniga ◽  
L. Scremin ◽  
S.J. Oh
Keyword(s):  
Conduction Block ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome

Focal conduction block in a case of tarsal tunnel syndrome

2010 ◽  
Vol 42 (3) ◽  
pp. 452-455 ◽  
Author(s):  
Diogo F. Almeida ◽  
Luciano Scremin ◽  
Sérgio F. Zúniga ◽  
Shin J. Oh
Keyword(s):  
Conduction Block ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome

Poster 219 Medial and Lateral Plantar Nerve Hydrodissection in Tarsal Tunnel Syndrome: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S261-S262 ◽  
Author(s):  
Patrick Buchanan ◽  
Suneil Kumar ◽  
Todd P. Stitik
Keyword(s):  
Case Report ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Lateral Plantar Nerve ◽  
Tunnel Syndrome

Tarsal Tunnel Syndrome: Diagnosis, Surgical Technique, and Functional Outcome

1998 ◽  
Vol 19 (2) ◽  
pp. 65-72 ◽  
Author(s):  
David S. Bailie ◽  
Armen S. Kelikian
Keyword(s):  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Abductor Hallucis ◽  
Nonsurgical Management ◽  
Symptom Severity Score ◽  
Common Clinical Presentation ◽  
Tunnel Syndrome ◽  
Perioperative Complication ◽  
Record Review

During a 10-year period, 47 patients underwent surgical management for tarsal tunnel syndrome (TTS). Of these, 34 (36 feet) were available for complete retrospective analysis by record review, questionnaire, and physical examination. An additional 10 patients were evaluated by record review alone. The mean age was 38 years (range, 12–65 years). Overall, average follow-up was 35 months (range, 15–102 months). All patients had nonsurgical care for an average of 16 months before surgery (range, 1–72 months). The symptom triad of pain, paresthesias, and numbness was the most common clinical presentation. All had a positive Tinel's sign and nerve compression test (NCT) at the tarsal tunnel. Electrodiagnostic studies were abnormal in 38 feet (81%). Two-point discrimination was diminished significantly by an average of 6.7 mm. At a follow-up examination two-point discrimination improved by an average of 3.8 mm ( P < 0.001). Eighteen feet continued to have a positive Tinel's sign and had a residual NCT. Subjectively, patients were satisfied with the surgical outcome in 72% of the cases. Postoperative improvement in the median Symptom Severity Score and the Functional Foot Score reflected this satisfaction. The perioperative complication rate was 30%. We conclude that the diagnosis of TTS is made primarily on history and clinical evaluation with electrodiagnostic studies supporting the diagnosis in 81%. Surgical treatment is warranted after nonsurgical management has failed. Division of the deep portion of the abductor hallucis fascia is important to ensure a complete release.

Outcome of Surgical Treatment of Tarsal Tunnel Syndrome

2003 ◽  
Vol 24 (2) ◽  
pp. 125-131 ◽  
Author(s):  
G. James Sammarco ◽  
Laurette Chang
Keyword(s):  
Average Length ◽  
Symptom Duration ◽  
Tarsal Tunnel ◽  
Trauma Patients ◽  
Tarsal Tunnel Syndrome ◽  
Duration Of Symptoms ◽  
Preoperative Symptom ◽  
Tunnel Syndrome ◽  
One Year

One hundred and eight ankles in 72 patients were evaluated from July 1986 to July 1997 with clinical findings and positive electrodiagnostic studies of tarsal tunnel syndrome. Clinical data included physical findings, subjective complaints, duration of symptoms, trauma history, steroid injections, nonsteroidal use and workman's compensation involvement. Associated medical conditions included diabetes, back pain and arthritis. Sixty-two patients underwent tarsal tunnel release, with 13 of them bilateral. There were 44 females and 18 males, 35 right feet and 40 left feet. The average age was 49 years. Preoperative symptom duration was 31 months. Average length of follow-up was 58 months. Average time for return to usual activity was nine months. All patients had at least a 12-month follow-up, and compared with both (Maryland Foot Score) MFS and AOFAS postoperative scores. Preoperative MFS scores obtained prior to 1994, were 61/100 (average), and postoperative MFS scores were 80/100 (average). Postoperative AOFAS scores were 80/100 (average). Patients with symptoms less than one year had postoperative MFS/AOFAS scores significantly higher than those with symptoms greater than one year. The most common surgical findings included arterial vascular leashes indenting the nerve and scarring about the nerve. Varicosities and space occupying lesions were present also. The outcome of surgery was not affected by the presence or absence of trauma. Patients with tarsal tunnel syndrome warrant surgery when significant symptoms do not respond to conservative management. Meticulous surgical technique must be followed. Improvement in foot scores is predictable even when a discrete space-occupying lesion is not present and when symptoms have been present for periods of greater than one year.

scholarly journals Carpal, cubital or tarsal tunnel syndrome after SARS-CoV-2 infection: a causal link?

2021 ◽  
pp. 110638
Author(s):  
Luca Roncati ◽  
Greta Gianotti ◽  
Davide Gravina ◽  
Giovanna Attolini ◽  
Giuliana Zanelli ◽  
...  
Keyword(s):  
Causal Link ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome
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