scholarly journals Tarsal tunnel syndrome: current rationale, indications and results

2021 ◽  
Vol 6 (12) ◽  
pp. 1140-1147
Author(s):  
E. Carlos Rodríguez-Merchán ◽  
Inmaculada Moracia-Ochagavía
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Nerve Conduction ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Posterior Tibial ◽  
Treatment Indications ◽  
Tunnel Syndrome

Tarsal tunnel syndrome (TTS) is a neuropathy due to compression of the posterior tibial nerve and its branches. It is usually underdiagnosed and its aetiology is very diverse. In 20% of cases it is idiopathic. There is no test that diagnoses it with certainty. The diagnosis is usually made by correlating clinical history, imaging tests, nerve conduction studies (NCSs) and electromyography (EMG). A differential diagnosis should be made with plantar fasciitis, lumbosacral radiculopathy (especially S1 radiculopathy), rheumatologic diseases, metatarsal stress fractures and Morton’s neuroma. Conservative management usually gives good results. It includes activity modification, administration of pain relief drugs, physical and rehabilitation medicine, and corticosteroid injections into the tarsal tunnel (to reduce oedema). Abnormally slow nerve conduction through the posterior tibial nerve usually predicts failure of conservative treatment. Indications for surgical treatment are failure of conservative treatment and clear identification of the cause of the entrapment. In these circumstances, the results are usually satisfactory. Surgical success rates vary from 44% to 96%. Surgical treatment involves releasing the flexor retinaculum from its proximal attachment near the medial malleolus down to the sustentaculum tali. Ultrasound-guided tarsal tunnel release is possible. A positive Tinel’s sign before surgery is a strong predictor of surgical relief after decompression. Surgical treatment achieves the best results in young patients, those with a clear aetiology, a positive Tinel’s sign prior to surgery, a short history of symptoms, an early diagnosis and no previous ankle pathology. Cite this article: EFORT Open Rev 2021;6:1140-1147. DOI: 10.1302/2058-5241.6.210031

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 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.

Tarsal Tunnel Syndrome Caused by an Occult Schwannoma of the Posterior Tibial Nerve: Avoidance of Delay in Diagnosis

2021 ◽  
Vol 111 (1) ◽  
Author(s):  
Mehmet Burak Yalcin ◽  
Utku Erdem Ozer
Keyword(s):  
Peripheral Nerves ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Significant Delay ◽  
Delay In Diagnosis ◽  
Posterior Tibial ◽  
Entrapment Neuropathies ◽  
Tunnel Syndrome

Tarsal tunnel syndrome (TTS), resulting from compression of the posterior tibial nerve (PTN) within the tarsal tunnel, is a relatively uncommon entrapment neuropathy. Many cases of tarsal tunnel syndrome are idiopathic; however, some causes, including space-occupying lesions, may lead to occurrence of TTS symptoms. Schwannoma, the most common tumor of the sheath of peripheral nerves, is among these space-occupying lesions, and may cause TTS when it arises within the tarsal tunnel, and it may mimic TTS even when it is located outside the tarsal tunnel and cause a significant delay in diagnosis. The possibility of an occult space-occupying lesion compressing the PTN should be kept in mind in the differential diagnosis of TTS, and imaging studies that are usually not used in entrapment neuropathies may be of importance in such patients. This case report presents a 65-year-old woman with TTS symptoms and neurophysiologic findings secondary to an occult schwannoma of the PTN proximal to the tarsal tunnel. Avoidance of delay in diagnosis in secondary cases is emphasized.

Extraskeletal Osteosarcoma: An Unusual Presentation as Tarsal Tunnel Syndrome

1995 ◽  
Vol 16 (12) ◽  
pp. 796-799 ◽  
Author(s):  
Kenneth A. Jaffe ◽  
Jeffrey D. Wade ◽  
F. Spencer Chivers ◽  
Gene P. Siegal
Keyword(s):  
Unusual Case ◽  
Benign Tumor ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Extraskeletal Osteosarcoma ◽  
Posterior Tibial ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

Tarsal tunnel syndrome is a compressive neuropathy caused by intrinsic or extrinsic pressure on the posterior tibial nerve or one of its terminal branches. A mass in association with tarsal tunnel syndrome is most likely a benign tumor or tumor-like condition, although a more malignant tumor must be in the differential diagnosis. We report an unusual case of an extraskeletal osteosarcoma causing tarsal tunnel syndrome.

Neurilemoma of the Posterior Tibial Nerve and Tarsal Tunnel Syndrome

2007 ◽  
Vol 97 (2) ◽  
pp. 148-150 ◽  
Author(s):  
Sarnarendra Miranpuri ◽  
Eric Snook ◽  
David Vang ◽  
Raymond M. Yong ◽  
William E. Chagares
Keyword(s):  
Schwann Cells ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Posterior Tibial ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome ◽  
Tarsal Canal ◽  
Space Occupying Lesion

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. A neurilemoma is an uncommon, benign, encapsulated neoplasm derived from Schwann cells. We present a case of tarsal tunnel syndrome caused by this rare space-occupying lesion. (J Am Podiatr Med Assoc 97(2): 148–150, 2007)

scholarly journals Posterior Tibial Nerve Schwannoma Presenting as Tarsal Tunnel Syndrome

Cureus ◽  
2019 ◽  
Author(s):  
Aaradhana J Jha ◽  
Chandan R Basetty ◽  
Gean C Viner ◽  
Chandler Tedder ◽  
Ashish Shah
Keyword(s):  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Posterior Tibial ◽  
Tunnel Syndrome

Osteochondroma of the talus: three varying cases

2020 ◽  
Vol 13 (12) ◽  
pp. e237670
Author(s):  
Saurabh Kumar ◽  
Ish Kumar Dhammi ◽  
Anil Kumar Jain ◽  
Pratyush Shahi
Keyword(s):  
Bone Graft ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Rare Entity ◽  
Tarsal Tunnel Syndrome ◽  
En Bloc ◽  
Posterior Tibial ◽  
Tibiofibular Joint ◽  
Tunnel Syndrome

Osteochondroma of the talus is a rare entity that can cause pain, swelling, restriction of movements, synovitis and tarsal tunnel syndrome (TTS). We present three such cases with varying presentation. Case 1 presented with synovitis of the ankle along with a bifocal origin of the talar osteochondroma. Case 2 presented with TTS as a result of compression of the posterior tibial nerve. Case 3 presented with deformity of the foot. In all the three cases, the mass was excised en bloc and histologically proven to be osteochondroma. In case 3, the ankle joint was reconstructed with plate, bone graft and arthrodesis of the inferior tibiofibular joint. All the three cases had good clinical outcomes.

scholarly journals Muscular Abnormalities as a Cause of the Tarsal Tunnel Syndrome: An Infrequent Bilateral Clinical Case

2019 ◽  
Vol 2 (1-3) ◽  
pp. 75-81 ◽  
Author(s):  
Marco Di Marco ◽  
Silvia Elena De Martinis ◽  
Marcello Truzzi ◽  
Roberto Viganò
Keyword(s):  
Clinical Case ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Posterior Tibial ◽  
Tunnel Syndrome ◽  
The Difference ◽  
A Minor ◽  
Minor Extent

A clinical case of a female patient affected by bilateral tarsal tunnel syndrome is described. The peculiarity of this case is the difference in the observed anatomopathological muscular abnormalities between the two feet. On one side, an accessory muscular venter of the toes’ long flexor was identified. On the other side, posterior tibial nerve compression was determined by an accessory venter of the hallux long flexor, associated with an abnormal venter of the toes’ long flexor, with a minor extent if compared to contralateral findings.

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