The first description of tarsal tunnel is attributed to Richter in 1897, in 1932 Pollock and Davis described the syndrome for the first time, in 1960 Kopell and Thompson described the clinical features of tarsal tunnel syndrome; and in 1962 Charles Keck described tarsal tunnel syndrome in a detailed manner with clinical cases. We present the case of a 61 year old female patient who presented symptoms in 2010, she had intermittent talalgia that increased gradually, six months later pain is constant and limiting gait, EVA is 6/10, she is diagnosed with plantar fasciitis and is referred to physiotherapy with no improvement after two months of treatment. The plantar fascia ultrasound reports thickening with micro tears in the heel bone attachment, we infiltrated the plantar fascia with platelet rich plasma with no improvement, two months later she has shock wave sessions with no changes observed. We reassess the case and make the diagnosis of tarsal tunnel syndrome clinically and with electromyography and in 2011 we infiltrate a steroid with local anesthesia with temporary improvement. In 2012, we found an EVA of 7/10 and an AOFAS of 54 points, we perform surgery and the intraoperative finding is a varicose vein that decreased the caliber of the tarsal tunnel compressing adjacent structures. The clinical case is presented and we reviewed tarsal tunnel syndrome in the literature.

Download full-text PDF

Source

Publication Analysis

Top Keywords

tarsal tunnel
24
tunnel syndrome
20
improvement months
8
plantar fascia
8
syndrome
6
tarsal
6
tunnel
6
[tarsal tunnel
4
syndrome review
4
review topic
4

Similar Publications

Background: Although an association between peripheral nerve entrapment issues and rheumatoid arthritis (RA) has been found, research has generally focused solely on nerve entrapment in the upper or lower extremity individually rather than on the consideration of nerve entrapment simultaneously in the upper and lower extremities. In addition, most of these studies have used small sample sizes. The aim of this study was to evaluate the incidence of carpal tunnel syndrome (CTS) and tarsal tunnel syndrome (TTS) concurrently in patients with RA using a relatively large sample size.

View Article and Find Full Text PDF

Entrapment neuropathies of the lower extremity are often underdiagnosed due to limitations in clinical examination and electrophysiological testing. Advanced imaging techniques, particularly MR neurography and high-resolution ultrasonography (US), have significantly improved the evaluation and diagnosis of these conditions by enabling precise visualization of nerves and their surrounding anatomical structures. This review focuses on the imaging features of compressive neuropathies affecting the lumbosacral plexus and its branches, including the femoral, obturator, sciatic, common peroneal, and tibial nerves.

View Article and Find Full Text PDF

Variations of the ankle anatomy are infrequent and exist as supernumerary muscles and tendons. Often understudied and overlooked, their presence can cause many complications of the lower extremity. These muscles, although often asymptomatic, can cause great pain and complications such as tenosynovitis, tarsal tunnel syndrome, lateral ankle instability, and ankle pain when they impinge on the normal anatomy of the patient.

View Article and Find Full Text PDF

Background And Objective: Diabetic neuropathy significantly elevates the risk of foot ulceration and lower-limb amputation, underscoring the need for precise assessment of tissue perfusion to optimize management. This narrative review explores the intricate relationship between sympathetic nerves and tissue perfusion in diabetic neuropathy, highlighting the important role of autonomic neuropathy in blood flow dynamics and subsequent compromises in tissue perfusion. The consequences extend to the development of diabetic peripheral neuropathy and related foot complications.

View Article and Find Full Text PDF

Tarsal Tunnel Syndrome - A Comprehensive Review.

Iowa Orthop J

January 2025

Department of Orthopedics, Lifeline Multispecialty Hospital, Adoor, India.

Tarsal tunnel syndrome (TTS) refers to compression of the posterior tibial nerve as it traverses the tarsal tunnel in the ankle. First described by Keck and Lam in 1962, TTS is an underdiagnosed cause of heel pain and foot dysfunction. The tarsal tunnel contains the tibial nerve, posterior tibial artery, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!