scholarly journals Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
A. Iborra ◽  
M. Villanueva ◽  
P. Sanz-Ruiz
Keyword(s):  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Guided ◽  
Tunnel Syndrome

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)

scholarly journals Ultrasound-guided decompression surgery of the distal tarsal tunnel: a novel technique for the distal tarsal tunnel syndrome—part III

2019 ◽  
Vol 41 (3) ◽  
pp. 313-321 ◽  
Author(s):  
Simone Moroni ◽  
Alejandro Fernández Gibello ◽  
Marit Zwierzina ◽  
Gabriel Camunas Nieves ◽  
Rubén Montes ◽  
...  
Keyword(s):  
Decompression Surgery ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Guided ◽  
Novel Technique ◽  
Tunnel Syndrome

scholarly journals Ultrasound-Guided Near-Nerve Needle Sensory Technique for the Diagnosis of Tarsal Tunnel Syndrome

2021 ◽  
Vol 10 (14) ◽  
pp. 3065
Author(s):  
Lorena Vega-Zelaya ◽  
Álvaro Iborra ◽  
Manuel Villanueva ◽  
Jesús Pastor ◽  
Concepción Noriega
Keyword(s):  
Nerve Conduction Velocity ◽  
Clinical Findings ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Guided ◽  
Surface Electrodes ◽  
Neurophysiological Tests ◽  
Study Population ◽  
Tunnel Syndrome ◽  
Entrapment Syndromes

Background: Tarsal tunnel syndrome (TTS) is one of the most common entrapment syndromes. Although diagnosis is supported by imaging tests, it has so far been based on clinical findings. Neurophysiological tests are not effective for providing an accurate diagnosis. The objective of this study was to analyze the efficacy of the ultrasound-guided near-nerve needle sensory technique (USG-NNNS) for the diagnosis of TTS Methods: The study population comprised 40 patients referred for a neurophysiological study owing to clinical suspicion of TTS. Routine neurophysiological tests were performed and compared with the results of USG-NNNS. Results: The diagnosis of TTS was achieved in 90% of cases. We found significant differences between lateral plantar sensory recordings with surface electrodes and USG-NNNS techniques for amplitude, nerve conduction velocity (NCV), and duration. As for the medial plantar sensory recordings, differences were found only for duration. No responses were obtained with surface electrode studies in 64.8% of cases. In addition, we observed normal sensory NCV with surface electrodes in 20 patients, although this decreased when the NNNS technique was used. Conclusions: This is the first report of the efficacy of the USG-NNNS technique for confirming the diagnosis of TTS.

scholarly journals Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome—Part II

2018 ◽  
Vol 41 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Alejandro Fernández-Gibello ◽  
Simone Moroni ◽  
Gabriel Camuñas ◽  
Rubén Montes ◽  
Marit Zwierzina ◽  
...  
Keyword(s):  
Decompression Surgery ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Guided ◽  
Novel Technique ◽  
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 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.

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