AI Article Synopsis
- A 46-year-old man experienced tarsal tunnel syndrome due to a malunited fracture of the calcaneus after non-operative treatment for an extra-articular fracture.
- Four months post-injury, he reported pain, tingling, and reduced sensation in the heel, with positive tests indicating nerve involvement.
- Surgical decompression of the tarsal tunnel was performed by removing the malunited fragments, leading to symptomatic improvement, although some sensory loss persisted.
Article Abstract
This is a report of tarsal tunnel syndrome (TTS) due to a specific malunited calcaneal fracture fragment in a 46-year-old man. He was treated non-operatively for extra-articular calcaneal fracture. Four months later he presented with pain, tingling and hypoaesthesia over the medial aspect of the heel. He had a positive Tinel's sign and a positive dorsiflexion-eversion test. Radiography revealed malunited calcaneal fracture along medial wall producing bony prominence. The tarsal tunnel was surgically decompressed by excising the malunited fragments. The branches of the posterior tibial nerve were stretched over these fragments intra-operatively. There was symptomatic improvement with surgical excision of the fragment, however, the hypoesthesia did not resolve completely. Appropriate initial treatment will help to prevent this complication.
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| http://dx.doi.org/10.1016/j.fas.2008.12.001 | DOI Listing |
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