Subtalar joint arthroscopy for sinus tarsi syndrome: A review of 29 cases

Oloff, Lawrence M.; Schulhofer, S. David; Bocko, Alan P.

doi:10.1016/s1067-2516(01)80081-8

Cited by 56 publications

(44 citation statements)

References 19 publications

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“…reported in the literature (Dellon & Barrett, 2005). Moreover, arthroscopy of the sinus tarsi can identify further pathologic findings of sinus tarsi syndrome (Frey et al 1999;Oloff et al 2001;Lee et al 2008).…”

Section: Figmentioning

confidence: 99%

Distribution of sensory nerve endings around the human sinus tarsi: a cadaver study

et al. 2014

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The aim of this study was to analyse the pattern of sensory nerve endings and blood vessels around the sinus tarsi. The superficial and deep parts of the fat pads at the inferior extensor retinaculum (IER) as well as the subtalar joint capsule inside the sinus tarsi from 13 cadaver feet were dissected. The distribution of the sensory nerve endings and blood vessels were analysed in the resected specimens as the number per cm 2 after staining with haematoxylin-eosin, S100 protein, low-affinity neurotrophin receptor p75, and protein gene product 9.5 using the classification of Freeman and Wyke. Free nerve endings were the predominant sensory ending (P < 0.001). Ruffini and Golgi-like endings were rarely found and no Pacini corpuscles were seen. Significantly more free nerve endings (P < 0.001) and blood vessels (P = 0.01) were observed in the subtalar joint capsule than in the superficial part of the fat pad at the IER. The deep part of the fat pad at the IER had significantly more blood vessels than the superficial part of the fat pad at the IER (P = 0.012). Significantly more blood vessels than free nerve endings were seen in all three groups (P < 0.001). No significant differences in distribution were seen in terms of right or left side, except for free nerve endings in the superficial part of the fat pad at the IER (P = 0.003). A greater number of free nerve endings correlated with a greater number of blood vessels. The presence of sensory nerve endings between individual fat cells supports the hypothesis that the fat pad has a proprioceptive role monitoring changes and that it is a source of pain in sinus tarsi syndrome due to the abundance of free nerve endings.

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Section: Figmentioning

confidence: 99%

Distribution of sensory nerve endings around the human sinus tarsi: a cadaver study

et al. 2014

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“…The improvement is similar to other studies that have also reported an improvement in postoperative pain or function. 4,5 The indications for subtalar arthroscopy in our cases were osteoarthritis of the subtalar joint, gouty arthritis and synovitis, loose bodies, and posttraumatic arthrofibrosis. It is, however, imperative to ensure that patients' symptoms are from the subtalar joint prior to embarking on surgery.…”

Section: Discussionmentioning

confidence: 75%

Subtalar Arthroscopy Using a 2.4-mm Zero-Degree Arthroscope

Siddiqui

Chong

Yeo

et al. 2010

Foot & Ankle Specialist

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The subtalar joint is complex. With the advent of smaller diameter arthroscopes, subtalar arthroscopy has become an important diagnostic and therapeutic tool for subtalar joint disorders. The objective of this study was to evaluate the outcome of patients who underwent arthroscopy for subtalar joint disorders using a 2.4-mm zero-degree arthroscope. In this prospective study, 6 patients who underwent subtalar arthroscopy from September 2008 to January 2009 in the authors' institution were included. The American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot scores were recorded preoperatively and at 3 and 6 months postoperatively. Mean +/- SD age was 45.5 +/- 16.2 years (range, 27.5-63.2). Postoperative diagnosis included arthrofibrosis, osteoarthritis, and osteochondral disease of the subtalar joint. Mean +/- SD AOFAS scores improved from 49.67 +/- 18.83 (range, 22-76) to 67.33 +/- 14.92 (range, 53-91) at 3 months (P = .03) and 75 +/- 19.74 (range, 54-100) at 6 months (P = .004). Subtalar arthroscopy using the 2.4-mm zero-degree arthroscope shows promising results in the diagnosis and treatment of subtalar pathologies. Patients have a significant improvement in their AOFAS hindfoot scores as early as 3 months and continue to improve subsequently. Usage of the zero-degree arthroscope allows the "instrumentation hand" to maneuver more easily in space and perform the operative procedure without getting in the way of the "camera hand." It can also save on inventory costs for centers that already have the zero-degree arthroscope. The role of specialized imaging is still unclear. Diagnosis of sinus tarsi syndrome should be historical with direct visualization of the joint revealing exact etiology.

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“…Walking on uneven ground results in pain and a feeling of instability. Oloff and colleagues reported on 29 patients with a sinus tarsi syndrome (Oloff et al 2001 ). Relief of symptoms with injection of local anesthetic directly into the sinus tarsi confi rms the diagnosis.…”

Section: Sinus Tarsi Syndromementioning

confidence: 99%

“…Patients with a sinus tarsi syndrome in 70 % report an inversion injury as the cause (Klein et al 1993 ;Taillard et al 1981 ;Oloff et al 2001 ). Patients with a sinus tarsi syndrome in 70 % report an inversion injury as the cause (Klein et al 1993 ;Taillard et al 1981 ;Oloff et al 2001 ).…”

Section: Anterolateral Sequelamentioning

confidence: 99%

“…Relief of symptoms with injection of local anesthetic directly into the sinus tarsi confi rms the diagnosis. Earlier results and those of Oloff and colleagues suggest that arthroscopic synovectomy alone is enough (Oloff et al 2001 ). Kashuk and colleagues stated that arthroscopic decompression of the sinus tarsi has proved useful, is technically easy, and allows for a rapid recovery (Kashuk et al 2000 ).…”

Section: Sinus Tarsi Syndromementioning

confidence: 99%

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Ankle Arthroscopy

Dijk¹

2014

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Subtalar joint arthroscopy for sinus tarsi syndrome: A review of 29 cases

Cited by 56 publications

References 19 publications

Distribution of sensory nerve endings around the human sinus tarsi: a cadaver study

Distribution of sensory nerve endings around the human sinus tarsi: a cadaver study

Subtalar Arthroscopy Using a 2.4-mm Zero-Degree Arthroscope

Ankle Arthroscopy

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