Treatment of anterior tarsal tunnel syndrome through an endoscopic or open technique

Yassin, Mustafa; Garti, Avraham; Weissbrot, Moshe; Heller, Eyal; Robinson, Dror

doi:10.1016/j.foot.2015.05.007

Cited by 11 publications

(7 citation statements)

References 9 publications

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“…41 In a study of 13 patients who underwent surgical decompression of the DPN, 6 underwent an endoscopic procedure, and 7 underwent an open procedure. 40 Twelve of the 13 patients reported significant improvement in condition, with no complications. 40 Another study of 18 patients undergoing surgical release of the DPN reported excellent results in 60% and good results in 20%, while only 20% of patients showed no improvement.…”

Section: Deep Peroneal Nervementioning

confidence: 90%

“…Compression of the DPN, known as ATTS, can be surgically treated with either an open or arthroscopic approach. 40 Surgical approach involves an incision in the dorsum of the foot and releasing the nerve from the inferior extensor retinaculum to its entry into the deep fascia. It is also essential to remove any associated osteophytes.…”

Section: Deep Peroneal Nervementioning

confidence: 99%

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An Update on Peroneal Nerve Entrapment and Neuropathy

et al. 2021

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Peroneal neuropathy is the most common compressive neuropathy of the lower extremity. It should be included in the differential diagnosis for patients presenting with foot drop, the pain of the lower extremity, or numbness of the lower extremity. Symptoms of peroneal neuropathy may occur due to compression of the common peroneal nerve (CPN), superficial peroneal nerve (SPN), or deep peroneal nerve (DPN), each with different clinical presentations. The CPN is most commonly compressed by the bony prominence of the fibula, the SPN most commonly entrapped as it exits the lateral compartment of the leg, and the DPN as it crosses underneath the extensor retinaculum. Accurate and timely diagnosis of any peroneal neuropathy is important to avoid progression of nerve injury and permanent nerve damage. The diagnosis is often made with physical exam findings of decreased strength, altered sensation, and gait abnormalities. Motor nerve conduction studies, electromyography studies, and diagnostic nerve blocks can also assist in diagnosis and prognosis. First-line treatments include removing anything that may be causing external compression, providing stability to unstable joints, and reducing inflammation. Although many peroneal nerve entrapments will resolve with observation and activity modification, surgical treatment is often required when entrapment is refractory to these conservative management strategies. Recently, additional options including microsurgical decompression and percutaneous peripheral nerve stimulation have been reported; however, large studies reporting outcomes are lacking.

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Section: Deep Peroneal Nervementioning

confidence: 90%

Section: Deep Peroneal Nervementioning

confidence: 99%

An Update on Peroneal Nerve Entrapment and Neuropathy

et al. 2021

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“…The initial treatment includes corticosteroid injections [72]. The surgical release of the tarsal tunnel via endoscopic or open approach is most effective when the compressing anatomical structure is identified [77].…”

Section: Treatmentmentioning

confidence: 99%

Clinico-radiological review of peripheral entrapment neuropathies – Part 2 Lower limb

Manoharan

Sudhakaran

Goyal

et al. 2021

European Journal of Radiology

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This review discusses the relevant anatomy, etiopathogenesis, current notions in clinical and imaging features as well as management outline of lower limb entrapment neuropathies. Methods: The review is based on critical analysis of the current literature as well as our experience in dealing with entrapment neuropathies of the lower limb. Results: The complex anatomical network of nerves supplying the lower extremities are prone to entrapment by a heterogenous group of etiologies. This leads to diverse clinical manifestations making them difficult to diagnose with traditional methods such as clinical examination and electrodiagnostic studies. Moreover, some of these may mimic other common conditions such as disc pain or fibromyalgia leading to delay in diagnosis and increasing morbidity. Addition of imaging improves the diagnostic accuracy and also help in correct treatment of these entities. Magnetic resonance imaging is very useful for deeply situated nerves in pelvis and thigh while ultrasound is well validated for superficial entrapment neuropathies. Conclusion: The rapidly changing concepts in these conditions accompanied by the advances in imaging has made it essential for a clinical radiologist to be well-informed with the current best practices.

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“…Surgical treatment may be attempted in selected cases. 67,68 Tibial Nerve Entrapment Anatomy The tibial nerve receives a similar contribution from L4 to S1 (mainly S1) nerve roots through the sciatic nerve and becomes a completely independent nerve at the level of the popliteal fossa. The tibial nerve innervates all muscles of the posterior compartment of the leg including the superficial compartment (plantaris, soleus, and gastrocnemius) and deep compartment (popliteus, flexor hallucis longus, flexor digitorum longus, and tibialis posterior).…”

Section: Treatmentmentioning

confidence: 99%

Common Entrapment Neuropathies

Malek

Salameh

2019

Semin Neurol

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Entrapment neuropathies are defined as compression of peripheral nerves due to known or unknown causes. The high incidence and variety of presentations require a comprehensive knowledge of these conditions, especially in neurology and orthopedic surgery clinical practices. Detailed knowledge of topographic anatomy, clinical manifestations, and appropriate use of electrophysiological studies with selective addition of neuromuscular ultrasonography are needed to establish an early and accurate diagnosis to advice patients and provide them with a comprehensive treatment plan. In this article, we discuss the most common forms of entrapment neuropathies in the upper and lower extremities.

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Treatment of anterior tarsal tunnel syndrome through an endoscopic or open technique

Cited by 11 publications

References 9 publications

An Update on Peroneal Nerve Entrapment and Neuropathy

An Update on Peroneal Nerve Entrapment and Neuropathy

Clinico-radiological review of peripheral entrapment neuropathies – Part 2 Lower limb

Common Entrapment Neuropathies

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