Distal Fibular Osteochondroma Resulting in Tarsal Tunnel Syndrome: Case Report and Literature Review

2019 ◽  
Vol 109 (3) ◽  
pp. 259-263
Author(s):  
Patrick A. DeHeer ◽  
Nicholas Thompson

Background: Osteochondromas are benign osseous tumors encountered most routinely by physicians responsible for diagnosing musculoskeletal disorders. Often, these osseous lesions are identified following symptoms related to their impingement on adjacent soft tissue or bone. Methods: This article presents a unique case of an asymptomatic osteochondroma of the distal fibula in a 29-year-old Caucasian woman that manifested clinically as an impingement on the tibial nerve. Results: After resection of the osteochondroma, the patient's tarsal tunnel syndrome symptoms resolved. Conclusions: This case report demonstrates a never-before-described osteochondroma of the distal fibula traversing posterior to the ankle joint and impinging on the tibial nerve. After resection, the patient's symptoms resolved.

2019 ◽  
Vol 58 (4) ◽  
pp. 795-801
Author(s):  
Alison Migonis ◽  
Raymond Murano ◽  
Isaac E. Stillman ◽  
Matthew Iorio ◽  
John M. Giurini

2019 ◽  
Vol 12 (6) ◽  
pp. 549-554 ◽  
Author(s):  
Kaitlin C. Neary ◽  
Eric Chang ◽  
Christopher Kreulen ◽  
Eric Giza

Tarsal tunnel syndrome (TTS) is a relatively uncommon compression neuropathy caused by impingement of the tibial nerve or one of the terminal branches. The presence of accessory musculature at the posteromedial aspect of the ankle has been identified as a rare cause of this condition. Despite the rarity of this condition, it must be considered in patients with refractory symptoms consistent with tibial nerve dysfunction. The accurate diagnosis of this condition relies heavily on a detailed history and physical examination, adequate imaging read by both surgeon and trained musculoskeletal radiologist, as well as a high level of suspicion for such pathology. In this case report, we describe a 46-year-old male with history, examination, and imaging all consistent with TTS secondary to accessory musculature. Following excision of an accessory soleus and flexor digitorum accessorius longus, as well as simultaneous tarsal tunnel release, the patient experienced full resolution of his symptoms. This highlights the importance of considering accessory musculature as a potential cause of TTS in patients presenting with tibial compression neuropathy. Levels of Evidence: Level V: Case Report


2007 ◽  
Vol 13 (4) ◽  
pp. 207-213 ◽  
Author(s):  
Mazen Hamoui ◽  
François Canovas ◽  
Mazen Ali ◽  
Arnaud Largey ◽  
François Bonnel

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Raja Bhaskara Rajasekaran ◽  
Rajasekaran Shanmuganathan

Schwannoma is a benign, noninvasive tumour of the peripheral nerve sheath with rare occurrence in the extremities. We present a case of a schwannoma in the posterior tibial nerve which presented with symptoms suggestive of tarsal tunnel syndrome. The patient was managed with surgical excision of the tumour under microscope, and the diagnosis was confirmed by histopathology. Such a presentation is rare, and our case report adds light regarding the management of such cases.


1995 ◽  
Vol 16 (11) ◽  
pp. 740-742 ◽  
Author(s):  
Mark S. Myerson ◽  
Barry I. Berger

A middle-aged man sustained an isolated sustentaculum tali fracture that formed a stable nonunion. Subsequently, tarsal tunnel syndrome developed when this sustentacular fragment migrated superiorly to cause tibial nerve impingement. The patient presented with a history of longstanding foot and ankle pain. He was pain-free 2 weeks after excision of the bony mass encased in fibrous tissue.


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