Tarsal Tunnel Syndrome Caused by Hyperlipidemia

Ruderman, Marvin I.; Palmer, Robert H.; Olarte, Marcelo R.; Lovelace, Robert E.; Haas, Richard; Rowland, Lewis P.

doi:10.1001/archneur.1983.04050020086023

Cited by 14 publications

(7 citation statements)

References 16 publications

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“…[35][36][37] In case of severe constant paresthesia, it may radiate proximally to the calf and the leg (Valleix phenomenon). 11,37,[40][41][42][43][44][45][46] In case of venous malformation, it is important to detect the abnormal veins associated with the PTN sheath in order to alert the interventionist of the possibility of nerve damage during embolization procedures. 21 In nearly 40% of cases, TTS is idiopathic, whereas trauma (scarring, fracture, and surgery) accounts for the most common nonidiopathic cause of the TTS.…”

Section: Tarsal Tunnel Syndromementioning

confidence: 99%

“…The role of MRN is to detect PTN, MPN and LPN abnormalities related to space-occupying lesions, such as PNSTs; flexor tenosynovitis, venous malformations, primary malignant neoplasm, anomalous muscles and ganglion cysts (Figs 15-17). 11,37,[40][41][42][43][44][45][46] In case of venous malformation, it is important to detect the abnormal veins associated with the PTN sheath in order to alert the interventionist of the possibility of nerve damage during embolization procedures. MRN is particularly useful for the depiction of re-entrapment of these small nerves from incomplete retinacular release and/or focal fibrosis related to the failed tarsal tunnel surgery.…”

Section: Tarsal Tunnel Syndromementioning

confidence: 99%

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3T Magnetic Resonance Neurography of Tibial Nerve Pathologies

Chalian

Soldatos

Faridian-Aragh

et al. 2012

Journal of Neuroimaging

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Diagnosis of tibial neuropathy has been traditionally based on clinical examination and electrodiagnostic studies; however, cross-sectional imaging modalities have been used to increase the diagnostic accuracy and provide anatomic mapping of the abnormalities. In this context, magnetic resonance neurography (MRN) offers high-resolution imaging of the tibial nerve (TN), its branches and the adjacent soft tissues, and provides an objective assessment of the neuromuscular anatomy, abnormality, and the surrounding pathology. This review describes the pathologies affecting the TN and illustrates their respective 3 Tesla (T) MRN appearances with relevant case examples.

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Section: Tarsal Tunnel Syndromementioning

confidence: 99%

Section: Tarsal Tunnel Syndromementioning

confidence: 99%

3T Magnetic Resonance Neurography of Tibial Nerve Pathologies

Chalian

Soldatos

Faridian-Aragh

et al. 2012

Journal of Neuroimaging

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“…Etiologies have included tumors and masses, metabolic abnormalities, trauma, ankle or foot deformities, and idiopathic cases. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]20,23,26,30,31,[35][36][37][38][39][40][41][42][47][48][49][53][54][55][56][60][61][62][63][64] One large series reported most cases to be caused by a spaceoccupying lesion, many related to tarsal coalition. 62 The diagnosis of TIS is often not made initially and treatment can be difficult.…”

Section: Introductionmentioning

confidence: 99%

Tarsal Tunnel Syndrome: Diagnosis, Surgical Technique, and Functional Outcome

Bailie¹,

Kelikian

1998

Foot Ankle Int.

106

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During a 10-year period, 47 patients underwent surgical management for tarsal tunnel syndrome (TTS). Of these, 34 (36 feet) were available for complete retrospective analysis by record review, questionnaire, and physical examination. An additional 10 patients were evaluated by record review alone. The mean age was 38 years (range, 12-65 years). Overall, average follow-up was 35 months (range, 15-102 months). All patients had nonsurgical care for an average of 16 months before surgery (range, 1-72 months). The symptom triad of pain, paresthesias, and numbness was the most common clinical presentation. All had a positive Tinel's sign and nerve compression test (NCT) at the tarsal tunnel. Electrodiagnostic studies were abnormal in 38 feet (81%). Two-point discrimination was diminished significantly by an average of 6.7 mm. At a follow-up examination two-point discrimination improved by an average of 3.8 mm (P < 0.001). Eighteen feet continued to have a positive Tinel's sign and had a residual NCT. Subjectively, patients were satisfied with the surgical outcome in 72% of the cases. Postoperative improvement in the median Symptom Severity Score and the Functional Foot Score reflected this satisfaction. The perioperative complication rate was 30%. We conclude that the diagnosis of TTS is made primarily on history and clinical evaluation with electrodiagnostic studies supporting the diagnosis in 81%. Surgical treatment is warranted after nonsurgical management has failed. Division of the deep portion of the abductor hallucis fascia is important to ensure a complete release.

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“…In spite of the fact that numerous diseases, especially meta bolic and endocrinologic ones, are accompanied by a CTS, the etiology remains unknown in most cases. Due to the preponderance of often overweight middle-aged females [3] and the observations of mono-and polyneu ropathies in patients with hyperlipidemic states [4][5][6][7] we investigated the pattern of lipoproteins in females suffer ing from a CTS, in order to detect whether a correlation exists between nerve entrapment and blood lipid frac tion.…”

Section: Introductionmentioning

confidence: 99%

Lack of Hyperlipidemia in Carpal Tunnel Syndrome

Bischoff

Isenberg²,

Conrad³

1991

Eur Neurol

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115 females with a definitive diagnosis of a carpal tunnel syndrome (CTS) are compared with a corresponding age-matched group of healthy females with regard to their lipidemic parameters. The incidence of hyperlipoproteinemias in CTS patients was equal to that in the control group so that hyperlipoproteinemia is unlikely to be a probable cause of the entrapment syndrome. A statistically significant increase in the level of a-lipoprotein (high-density lipoprotein) was found which cannot be readily explained.

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Tarsal Tunnel Syndrome Caused by Hyperlipidemia

Cited by 14 publications

References 16 publications

3T Magnetic Resonance Neurography of Tibial Nerve Pathologies

3T Magnetic Resonance Neurography of Tibial Nerve Pathologies

Tarsal Tunnel Syndrome: Diagnosis, Surgical Technique, and Functional Outcome

Lack of Hyperlipidemia in Carpal Tunnel Syndrome

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