Anterior tarsal tunnel syndrome secondary to missed talus fracture: a case report

Çetinkal, Ahmet; Topuz, Kivanc; Kaya, Serdar; Çolak, Ahmėt; Demircan, Mehmet

doi:10.5137/1019-5149.jtn.2914-10.0

Cited by 8 publications

(9 citation statements)

References 6 publications

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“…In ballet dancers, stretching of the nerve due to extreme planter flexion was described by Borges ( 7 ). Cetinkal et al reported such a case in a missed talar fracture ( 8 ). Akyuz after evaluating 325 symptomatic feet found only 14 (4.3%) patients who had ATTS ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Anterior Tarsal Tunnel Syndrome With Thrombosed Dorsalis Pedis Artery: A Case Report

Gani¹,

Khan²,

Kamal³

et al. 2015

Arch Trauma Res

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Introduction:The aanterior tarsal tunnel syndrome denotes the entrapment of the deep peroneal nerve under the inferior extensor retinaculum. Although various etiological factors have been reported to cause anterior tarsal syndrome, its occurrence with thrombosed dorsalis pedis artery has not been reported in the English literature.Case Presentation:A 40 -year-old male patient was presented with the history of persistent pain along the dorsal surface of right foot, which was aggravated with the activities. Conservative management was tried without much relief. Diagnosis of anterior tarsal tunnel syndrome was made and the patient was planned for surgery. Thrombosed dorsalis pedis artery was found along with two adjacent collateral vessels. Retinaculum was released and nerve was mobilized. Tight compartment got released. Postoperative period was uneventful. No recurrence was seen on follow-up.Conclusion:The anterior tarsal tunnel syndrome is a known disease. A high index of clinical suspicion is required while dealing with the chronic cases. A detailed history to rule out any traumatic event is necessary too. Timely investigations and surgical release give dramatic relief.

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Section: Discussionmentioning

confidence: 99%

Anterior Tarsal Tunnel Syndrome With Thrombosed Dorsalis Pedis Artery: A Case Report

Gani¹,

Khan²,

Kamal³

et al. 2015

Arch Trauma Res

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“…7 Also, Cetinkal et al reported that fibro-osseous structure occurred after a missed talus fracture could cause ATTS. 8 Moreover, Gani et al reported such a case with the thrombosed dorsalis pedis artery. 9 Patients may describe hyperesthesia and/or paresthesia between the first and second finger and pain at the back of foot.…”

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confidence: 99%

“…11 On the other hand, it is known that most normal cases reveal fibrillation in EDB because of local trauma so it may be neglected. 8 The symptoms of ATTS with the denervation in EDB are important to diagnose. In our case, CMAP of the peroneal nerve recorded at the right EDB muscle and motor unit potential and pathological spontaneous activity at right EDB muscle could not be obtained due to the atrophy of EDB.…”

mentioning

confidence: 99%

Anterior Tarsal Tunnel Syndrome: Case Report

Taşdemir¹,

Alay²,

Yaşar³

et al. 2016

Turkiye Klinikleri J Neur

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“…Furthermore, he established the electrodiagnostic technique to assist in the diagnosis. This syndrome occurs more commonly among women [4].…”

Section: Introductionmentioning

confidence: 99%

“…Within the tunnel are four tendons, an artery, a vein, and the deep peroneal nerve. DPN and its branches cross through this fibro-osseous canal by extending deep to the muscle tendons of the extensor hallucis longus and extensor digitorum longus towards the distal direction [3,4]. DPN innervates the peroneus tertius muscle and the dorsiflexors of the ankle and toes, including the tibialis anterior muscle, extensor digitorum longus and extensor hallucis longus, and extensor digitorum brevis (EDB) [5,6].…”

Section: Introductionmentioning

confidence: 99%

Anterior Tarsal Tunnel Syndrome with Presence of Accessory Deep Peroneal Nerve: Case Report

Zukić¹

2015

J Neurol Neurol Sci Disord

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Entrapment neuropathy of the deep peroneal nerve, also recognized as anterior tibial nerve, typically occurs at the anterior ankle and dorsal foot. Compression of this nerve, which anatomically is inferior to the extensor retinaculum, is commonly referred to as anterior tarsal tunnel syndrome. This syndrome is rare and remains poorly diagnosed among clinical problems. A 25-year-old woman was referred to our outpatient clinic for a second opinion. She presented with a vague pain over the dorsomedial aspect of the foot which occasionally radiated into the first intertarsal space. Electromyography revealed moderate prolongation of distal latency and presence of accessory deep peroneal nerve (ADPN) with partially innervated extensor digitorum brevis. Our diagnosis was anterior tarsal tunnel syndrome, and surgical decompression of the anterior tarsal tunnel was performed. At the follow up three months later the symptoms where almost completely gone. One year after, there were still no symptoms.The ADPN is of great clinical and surgical importance. In the presence of ADPN, the lesion of the deep peroneal nerve spare the lateral portion of the EDB, leading to the possibility of an incorrect conclusion, as it was the case with our patient. subjectively silent weakness of the extensor digitorum brevis muscles. Patients may also complain of a burning sensation in the distribution of the DPN. The pain may be influenced by particular body positions during rest and ambulation. AATS of the DPN is an often underdiagnosed and poorly recognized clinical entity [5,9]. Case ReportA 25-year-old woman was referred to our out-patient clinic for a second opinion. She complained of a vague pain over the dorsomedial aspect of the foot (Figure 1) which occasionaly radiated into the first interosseal space.Occasionaly she complained of numbness within this area. Symptoms started nine months ago during the last trimester of her pregnancy. Her symptoms were often aggravated by physical activities especially with activities involving the left leg. She was diagnosed as "atypical left L5/Sl radiculopathy" at another university department. Examination showed no sensory loss and mild atrophy of left EDB.

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Anterior tarsal tunnel syndrome secondary to missed talus fracture: a case report

Cited by 8 publications

References 6 publications

Anterior Tarsal Tunnel Syndrome With Thrombosed Dorsalis Pedis Artery: A Case Report

Anterior Tarsal Tunnel Syndrome With Thrombosed Dorsalis Pedis Artery: A Case Report

Anterior Tarsal Tunnel Syndrome: Case Report

Anterior Tarsal Tunnel Syndrome with Presence of Accessory Deep Peroneal Nerve: Case Report

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