Validity of the Tinel Sign and Prevalence of Tibial Nerve Entrapment at the Tarsal Tunnel in Both Diabetic and Nondiabetic Subjects

2018 ◽  
Vol 142 (5) ◽  
pp. 1258-1266 ◽  
Author(s):  
Willem D. Rinkel ◽  
Manuel Castro Cabezas ◽  
Johan W. van Neck ◽  
Erwin Birnie ◽  
Steven E. R. Hovius ◽  
...  
Keyword(s):  
Tibial Nerve ◽  
Nerve Entrapment ◽  
Tarsal Tunnel

scholarly journals Predictive Outcome Modeling of Preoperative Clinical Symptoms and Electrodiagnostic Data in Tarsal Tunnel Surgery

2021 ◽  
Vol 16 (01) ◽  
pp. e37-e45
Author(s):  
Geoffrey K. Seidel ◽  
Salma Al Jamal ◽  
Eric Weidert ◽  
Frederick Carington ◽  
Michael T. Andary ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Clinical Symptoms ◽  
Tibial Nerve ◽  
Outcome Measurement ◽  
Tarsal Tunnel ◽  
Patient Reported ◽  
Peripheral Polyneuropathy ◽  
Tunnel Syndrome ◽  
Phalen's Test ◽  
Surgical Release

Abstract Background The relationship between tarsal tunnel syndrome (TTS), electrodiagnostic (Edx) findings, and surgical outcome is unknown. Analysis of TTS surgical release outcome patient satisfaction and comparison to Edx nerve conduction studies (NCSs) is important to improve outcome prediction when deciding who would benefit from TTS release. Methods Retrospective study of 90 patients over 7 years that had tarsal tunnel (TT) release surgery with outcome rating and preoperative tibial NCS. Overall, 64 patients met study inclusion criteria with enough NCS data to be classified into one of the following three groups: (1) probable TTS, (2) peripheral polyneuropathy, or (3) normal. Most patients had preoperative clinical provocative testing including diagnostic tibial nerve injection, tibial Phalen's sign, and/or Tinel's sign and complaints of plantar tibial neuropathic symptoms. Outcome measure was percentage of patient improvement report at surgical follow-up visit. Results Patient-reported improvement was 92% in the probable TTS group (n = 41) and 77% of the non-TTS group (n = 23). Multivariate modeling revealed that three out of eight variables predicted improvement from surgical release, NCS consistent with TTS (p = 0.04), neuropathic symptoms (p = 0.045), and absent Phalen's test (p = 0.001). The R 2 was 0.21 which is a robust result for this outcome measurement process. Conclusion The best predictors of improvement in patients with TTS release were found in patients that had preoperative Edx evidence of tibial neuropathy in the TT and tibial nerve plantar symptoms. Determining what factors predict surgical outcome will require prospective evaluation and evaluation of patients with other nonsurgical modalities.

Tarsal Tunnel Syndrome Associated with a Pulsating Artery

2010 ◽  
Vol 100 (3) ◽  
pp. 209-212 ◽  
Author(s):  
Eunkuk Kim ◽  
Martin K. Childers
Keyword(s):  
High Resolution ◽  
Ultrasound Imaging ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Guided ◽  
Nerve Ultrasound ◽  
Posterior Tibial ◽  
Tunnel Syndrome

We describe a patient with tarsal tunnel syndrome in whom ultrasound imaging revealed compression of the posterior tibial nerve by a pulsating artery. High-resolution ultrasound showed a round pulsating hypoechoic lesion in contact with the posterior tibial nerve. Ultrasound-guided injection of 0.5% lidocaine temporarily resolved the paresthesia. These findings suggest an arterial etiology of tarsal tunnel syndrome. (J Am Podiatr Med Assoc 100(3): 209–212, 2010)

Tibial Nerve Branching in the Tarsal Tunnel

1984 ◽  
Vol 41 (6) ◽  
pp. 645-646 ◽  
Author(s):  
A. L. Dellon ◽  
S. E. Mackinnon
Keyword(s):  
Tibial Nerve ◽  
Tarsal Tunnel

scholarly journals Plexiform or multinodular schwannoma of posterior tibial nerve: case report with review of literature

2020 ◽  
Vol 6 (5) ◽  
pp. 1135
Author(s):  
Prahalad Kumar Singhi ◽  
Sivakumar Raju ◽  
Somashekar V. ◽  
Bharat Kumar ◽  
Anil Kumar
Keyword(s):  
Tibial Nerve ◽  
Cranial Nerves ◽  
Leg Pain ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Posterior Tibial ◽  
Satisfactory Outcome ◽  
Chronic Regional Pain Syndrome

<p>A schwannoma is a benign tumor that develops from the Schwann cells, which assists conduction of nerve impulses and located in the nerve sheath of peripheral or cranial nerves. Plexiform or multinodular Schwannoma of posterior tibial nerve is a rare presentation, can cause diagnostic dilemma with Lumbosacral radiculopathy, Tarsal tunnel syndrome, Entrapment neuropathy or Chronic regional pain syndrome. Unexplained leg pain, a positive Tinel's sign with or without a palpable swelling and Magnetic Resonance Imaging will clinch the diagnosis after excluding other causes. In symptomatic cases with long standing complaints, surgical resection yields satisfactory outcome. We present an interesting case of plexiform schawannoma along posterior tibial nerve with review of literature.</p>

scholarly journals Arterial Anatomy of the Posterior Tibial Nerve in the Tarsal Tunnel

2016 ◽  
Vol 98 (6) ◽  
pp. 499-504 ◽  
Author(s):  
Mary Claire Manske ◽  
Kathleen E. McKeon ◽  
Jeremy J. McCormick ◽  
Jeffrey E. Johnson ◽  
Sandra E. Klein
Keyword(s):  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial ◽  
Arterial Anatomy

Tibial Neuropathy—Tarsal Tunnel Syndrome

2018 ◽  
Author(s):  
Daniel A. Lyons ◽  
David L. Brown
Keyword(s):  
Physical Examination ◽  
Surgical Intervention ◽  
Tibial Nerve ◽  
Clinical History ◽  
Surgical Decompression ◽  
Tarsal Tunnel ◽  
Success Rates ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome ◽  
Space Occupying Lesion

Tarsal tunnel syndrome (TTS) is caused by compression of the tibial nerve and its branches within the tarsal tunnel at the ankle. The diagnosis of TTS is often made clinically, but imaging and electrodiagnostic studies should be considered when the diagnosis cannot be ascertained from the clinical history and physical examination. Surgical decompression of the tarsal tunnels should be pursued only after conservative measures have failed or when a space-occupying lesion or point of tibial nerve compression has been identified. Surgical intervention requires complete release of the flexor retinaculum at the medial ankle, as well as release of the three distinct tunnels enveloping the medial and lateral plantar nerves and the calcaneal branch. Success rates for tibial nerve decompression vary widely in the literature, ranging from 44% to 96%.

scholarly journals Surgical Treatment of Tarsal Tunnel Syndrome - Case Report

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
EL Maqrout A ◽  
◽  
Fekhaoui MR ◽  
Boufettal M ◽  
Bassir RA ◽  
...  
Keyword(s):  
Tibial Nerve ◽  
Annular Ligament ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Total Recovery ◽  
After Effects ◽  
Intensive Training ◽  
Posterior Tibial ◽  
Tunnel Syndrome

The first description of tarsal tunnel syndrome is recent. Koppel in 1960 evoked the after-effects of lesions of the posterior tibial nerve. Keck in 1969 was the first to describe compression of the posterior tibial nerve by the internal annular ligament. It was a young soldier who, after intensive training, had bilateral plantar anesthesia. The opening of the internal annular ligament had allowed a total recovery in 48 hours. Our objective here is to discuss the circumstances of the diagnosis of this syndrome, to analyze its anatomical and pathological causes, to present the types of treatments followed, in the light of the literature.

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