Schwannoma of the Posterior Tibial Nerve

2014 ◽  
Vol 104 (5) ◽  
pp. 539-543 ◽  
Author(s):  
Tanya Judd ◽  
Taunna Jones ◽  
Lauren Thornberry
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Tibial Nerve ◽  
Benign Tumors ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Nerve Branch ◽  
Tissue Mass ◽  
Posterior Tibial ◽  
Flexor Retinaculum

Background Schwannomas are rare, slow-growing, benign tumors consisting of Schwann cells. They may cause pressure along a bony structure, resulting in increased pain and discomfort. Less than 1% of schwannomas become malignant, and localization in the foot is uncommon (2%–3% of reported cases). Methods We present a case of a schwannoma of a branch of the posterior tibial nerve sheath. The goal is to assist in recognition, diagnosis, and treatment of schwannoma in the foot and ankle. This is a case of a 51-year-old male soccer player with a soft-tissue mass along the medial ankle at the tarsal tunnel area with an insidious onset (2 years). Physical examination revealed a 3.0 × 2.5-cm mass; magnetic resonance imaging confirmed location, size, and depth. Results Surgical resection of the soft-tissue mass was performed under general anesthesia. The mass was found to be superior to the flexor retinaculum and attached by a small nerve branch of the posterior tibial nerve that traveled through the flexor retinaculum. A tissue specimen was sent to the pathology laboratory, and a schwannoma was confirmed histologically. Conclusions Schwannomas can occur after trauma, especially if the posterior tibial nerve or its branches are affected intrinsically or extrinsically, leading to discomfort, pain, and numbness along the tarsal tunnel. Also, unique to this case, a schwannoma may occur along the small branches of the posterior tibial nerve and present anatomically superior to the flexor retinaculum.

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 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

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.

Tarsal Tunnel Surgery for Treatment of Tarsal Ganglion

2005 ◽  
Vol 95 (5) ◽  
pp. 459-463 ◽  
Author(s):  
Gedge D. Rosson ◽  
Robert J. Spinner ◽  
A. Lee Dellon
Keyword(s):  
Nerve Injury ◽  
Tibial Nerve ◽  
Posterior Tibial Artery ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Intraneural Ganglion ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Guiding Principles

Three patients who originally presented with a mass in the tarsal tunnel are described to develop an algorithm for management of the tarsal ganglion. All three patients had complications from ganglion excision, including complete division of the posterior tibial nerve, injury to the posterior tibial artery, and ganglion recurrence. The guiding principles relating to the presence of an extraneural versus an intraneural ganglion are developed. An example of a posterior tibial intraneural ganglion is presented. (J Am Podiatr Med Assoc 95(5): 459–463, 2005)

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 Morphological Study of the Posterior Tibial Nerve in Tarsal Tunnel of the Human Foot

2020 ◽  
Vol 2 (3) ◽  
pp. 1-9
Author(s):  
Khalid Musa Fadlelmula Awadelseid
Keyword(s):  
Morphological Study ◽  
Tibial Nerve ◽  
Clinical Intervention ◽  
Lower Limbs ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Plantar Surface ◽  
Human Foot ◽  
Posterior Tibial ◽  
The Right

The passage of the posterior tibial nerve in the tarsal tunnel has a great clinical significance, thus detailed anatomical knowledge is mandatory for safe clinical intervention. This study was to identify the morphological appearance of the tibial nerve and its bifurcation. Sixty lower limbs of formalin embalmed cadavers were randomly selected. Data were collected through the application of standard dissection method of the tarsal tunnel of lower limbs (30 rights and 30 left) of formalin embalmed cadavers. The posterior tibial nerve and its branches were exposed from the distal end of the leg toward plantar surface beyond its bifurcation by resecting the skin and flexor retinaculum. The study triggered several findings: The posterior tibial nerve is flattened shaped in 21 specimens 70% and has a rounded shape in 9 specimens 30%in the right foot. In the left foot it is flattened in 17 specimens 56.7% and rounded shape in 13 specimens 43.3%. Posterior tibial nerve bifurcates into medial and lateral planter nerves inside tarsal tunnel in 20 specimens 66.7% in the right foot and in 21 specimens 70% in the left foot. This study concludes that posterior tibial nerve commonly has flattened shape and divided into medial and lateral planter nerves inside tarsal tunnel.

Sign in / Sign up

Export Citation Format

Share Document