Posterior Tarsal Tunnel Syndrome

Antoniadis, Gregor; Scheglmann, K.

doi:10.3238/arztebl.2008.0776

Cited by 44 publications

(86 citation statements)

References 23 publications

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“…The diagnosis of posterior tarsal tunnel syndrome can be confirmed by neurophysiological study. 1 The Tinel sign can be elicited over the ganglion. Preoperative magnetic resonance imaging is important to study the location of the ganglion in relation to the tibial nerve, the site of origin of the ganglion, and the presence of any associated pathology.…”

Section: Technique Preoperative Assessmentmentioning

confidence: 99%

“…1 Although it can be idiopathic, many of these cases have underlying causes. These include traumatic causes and the presence of arthrosis, tenosynovitis, rheumatoid arthritis, tumors such as tibial nerve schwannoma at the level of the tarsal tunnel, ganglia, convoluted vessels, and hypertrophic or accessory muscles (e.g., abductor hallucis) and tendons (e.g., flexor digitorum longus [FDL]) impinging on the tarsal tunnel and compressing the nerve.…”

mentioning

confidence: 99%

“…These include traumatic causes and the presence of arthrosis, tenosynovitis, rheumatoid arthritis, tumors such as tibial nerve schwannoma at the level of the tarsal tunnel, ganglia, convoluted vessels, and hypertrophic or accessory muscles (e.g., abductor hallucis) and tendons (e.g., flexor digitorum longus [FDL]) impinging on the tarsal tunnel and compressing the nerve. [1][2][3] Surgical treatment is indicated if the symptoms are intractable and the diagnosis is well established. 1 Tarsal tunnel release is indicated in patients with idiopathic posterior tarsal tunnel syndrome without nerve-compressing space-occupying lesions.…”

mentioning

confidence: 99%

“…[1][2][3] Surgical treatment is indicated if the symptoms are intractable and the diagnosis is well established. 1 Tarsal tunnel release is indicated in patients with idiopathic posterior tarsal tunnel syndrome without nerve-compressing space-occupying lesions. Endoscopic tarsal tunnel release has been developed with the advantage of minimally invasive surgery.…”

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confidence: 99%

“…1 They arise from the adjacent joints or tendon sheaths. 5,6 Although the operative outcome of tarsal tunnel syndrome caused by space-occupying lesions is more favorable than that caused by other factors, 7 recent studies have shown that the results are less favorable than expected.…”

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confidence: 99%

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Endoscopic Resection of the Tarsal Tunnel Ganglion

Lui¹

2016

Arthroscopy Techniques

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Abstract:The tarsal tunnel ganglion is a cause of posterior tarsal tunnel syndrome. Open resection of the ganglion calls for release of the flexor retinaculum and dissection around the tibial neurovascular bundle. This can induce fibrosis around the tibial nerve. We report the technique of endoscopic resection of the tarsal tunnel ganglion. It is indicated for tarsal tunnel ganglia arising from the adjacent joints or tendon sheaths and compressing the tibial nerve from its deep side. It is contraindicated if there is other pathology of the tarsal tunnel that demands open surgery; if the ganglion compresses the tibial nerve from its superficial side, which calls for a different endoscopic approach using the ganglion portal; or if an intraneural ganglion of the tibial nerve is present. The purpose of this technical note is to describe a minimally invasive approach for endoscopic resection of the tarsal tunnel ganglion.

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Section: Technique Preoperative Assessmentmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Endoscopic Resection of the Tarsal Tunnel Ganglion

Lui¹

2016

Arthroscopy Techniques

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Tarsal tunnel syndrome in the mucopolysaccharidoses: A case series and literature review

et al. 2019

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BackgroundThe mucopolysaccharidoses (MPS) are a group of inherited, progressive, multi‐system lysosomal storage disorders. Musculoskeletal manifestations include nerve entrapment syndromes, most commonly carpal tunnel syndrome. Tarsal tunnel syndrome (TTS) has also been reported. The purpose of this study was to investigate the clinical course of MPS patients with suspected TTS and to conduct a literature review of TTS in MPS.MethodsA review of the Medline and EMBASE databases was conducted in accordance with published guidelines from the Joanna Briggs Institute of Evidence Based Medicine with search strategy developed by a librarian trained in systematic reviews. A medical record review was undertaken for all patients managed in the multi‐disciplinary MPS clinic in a tertiary referral paediatric centre, identifying patients with a suspected or established diagnosis of TTS. Data regarding the demographics, investigations, presentation, management, and clinical course were collected.ResultsThe literature review failed to identify any published papers regarding TTS in MPS, with conference proceedings only identified. Within a cohort of 19 MPS patients, four patients with a suspected diagnosis of TTS were identified (MPS I: two patients, MPS VI: two patients). Three patients underwent surgical tarsal tunnel decompression, two with good result. One patient had overlapping symptoms with spinal stenosis and improvement in suspected tarsal tunnel symptoms following spinal decompression and fusion.

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Ultrasound‐Guided Release of the Tibial Nerve and Its Distal Branches: A Cadaveric Study

Iborra¹,

Villanueva‐Martínez²,

Barrett³

et al. 2018

J of Ultrasound Medicine

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Objectives The purpose of the study was to determine whether ultrasound (US)‐guided surgery is a viable type of surgery for performing an effective release/decompression of the constricting structures that are responsible for focal nerve compression in tarsal tunnel syndrome. Methods Ultrasound guidance was used on cadaveric specimens to delineate the anatomic course of the nerves and vessels in the medial ankle that comprise the structures involved in tarsal tunnel syndrome. Ultrasound guidance was used on cadaveric specimens and assisted in delineating a safe surgical zone to adequately and effectively release these constrictive structures of the proximal and distal tarsal tunnels. The US‐guided tarsal tunnel release/decompression was performed through 2 small 1‐ to 2‐mm portals. After US‐guided release, anatomic dissection was used to check the efficacy (release of the flexor retinaculum and deep abductor hallucis muscle) and safety (absence of neurovascular or tendon injury) of the procedure. Results In 12 fresh cadaveric specimens, US‐guided release of the tibial nerve (proximal tarsal tunnel) and its branches (distal tarsal tunnel) at the medial ankle was effective in all 12 specimens (100% release rate), without any signs of compromise or injury into the neurovascular structures. Conclusions Ultrasound‐guided tarsal tunnel release is a feasible surgical procedure that can be safe and effective with the proper training, although further investigation is warranted. This type of surgery may promote faster recovery with less postoperative morbidity, including pain, but this will be the subject of a further investigation.

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Posterior Tarsal Tunnel Syndrome

Cited by 44 publications

References 23 publications

Endoscopic Resection of the Tarsal Tunnel Ganglion

Endoscopic Resection of the Tarsal Tunnel Ganglion

Tarsal tunnel syndrome in the mucopolysaccharidoses: A case series and literature review

Ultrasound‐Guided Release of the Tibial Nerve and Its Distal Branches: A Cadaveric Study

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