Tarsal tunnel syndrome. Causes and results of operative treatment

Takakura, Yoshinori; Chikara, Kitada; Sugimoto, Kazuya; Tanaka, Yasuhito; Tamai, Susumu

doi:10.1302/0301-620x.73b1.1991745

Cited by 144 publications

(93 citation statements)

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“…According to the rating system of Takakura et al [27], there were excellent results in three feet, good results in six, fair results in two and poor results in two. Of six cases, with a mean pre-operative duration of symptoms of 52.3 months, two were being treated with a diagnosis of a prolapsed intervertebral disc, three tendonitis and one plantar fasciitis.…”

Section: Methodsmentioning

confidence: 95%

“…The incidence of a satisfactory outcome after surgical treatment varies between 44% and 95% [9,15,20,27]. The importance of seeking a precise diagnosis has been stressed, and it has been suggested that conservative measures should be continued for some time in patients without a space-occupying lesion [20,28].…”

Section: Discussionmentioning

confidence: 99%

“…Although there was no pre-operative assessment, all patients were assessed at the final follow-up using the rating system of Takakura et al [27] (Table 2). According to this system patients with 10 points were considered excellent, 8-9 good, 6-7 fair and 5 or less poor.…”

Section: Methodsmentioning

confidence: 99%

“…Patients usually complain of burning pain and numbness, especially on the medial plantar aspect of the foot, in the area served by the affected nerve [18,30]. Tinel's sign is usually positive [3,20,27]. There may be night pain and cramps in the longitudinal arch.…”

Section: Introductionmentioning

confidence: 99%

“…Those who did not have a space-occupying lesion received conservative treatment initially and surgery was undertaken in those who did not respond. The demographic data of the patients are shown in Table 1.Although there was no pre-operative assessment, all patients were assessed at the final follow-up using the rating system of Takakura et al [27] (Table 2). According to this system patients with 10 points were considered excellent, 8-9 good, 6-7 fair and 5 or less poor.…”

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confidence: 99%

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Tarsal tunnel syndrome – the effect of the associated features on outcome of surgery

Ürgüden

Bilbaşar

Özdemi̇r

et al. 2002

International Orthopaedics (SICOT)

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Between 1989 and 2000, 16 patients underwent surgery for tarsal tunnel syndrome; 12 patients (13 feet) were available for follow-up at a mean of 83 (12-143) months. The symptoms had resolved in six feet, were improved in four, were unchanged in two and recurred after five years in one. Better results are obtained in patients who have space occupying lesions than in those in whom the aetiology is idiopathic or post-traumatic or those with foot deformities.Résumé Entre 1989 et 2000 nous avons traité chirurgicalement 16 malades présentant un syndrome du tunnel tarsien. Chez 12 malades (13 pieds) les résultats ont été évalués après une moyenne de 83 (12-143) mois. Pour six pieds les symptômes avaient complètement disparus, pour quatre pieds les symptômes ont été améliorés, deux pieds ont été inchangés et dans un cas les symptômes sont revenus après 60 mois. Le résultat du traitement chirurgical est meilleur chez les patients avec des lésions l'espace occupante. IntroductionTarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve and its branches within the tunnel formed by the flexor retinaculum. It was first described by Kopell and Thompson [11] in 1960. The term "Tarsal Tunnel Syndrome" was first used independently by Keck [10] and Lam [12] in 1962. The syndrome may be idiopathic or secondary to direct pressure from space-occupying lesions, adhesions following trauma, inflammatory causes or deformities of the foot [1,2,21,24,26,28,30].Onset of symptoms is usually insidious. Patients usually complain of burning pain and numbness, especially on the medial plantar aspect of the foot, in the area served by the affected nerve [18,30]. Tinel's sign is usually positive [3,20,27]. There may be night pain and cramps in the longitudinal arch. Symptoms are related to exercise and maximal at the end of the day [14,21,30]. Diagnosis is made from the history, physical examination and nerve conduction studies. Normal nerve conduction studies, however, may not exclude an entrapment neuropathy [5,7,9,19,22]. In this study, we aimed to assess the factors that affect the outcomes of surgically treated TTS patients, such as different aetiologies, duration of symptoms etc.. Patients and methodsOf 16 patients with TTS who underwent surgery, 12, (13 feet) were available for review at a mean follow-up of 83 (12-143) months. There were nine women and three men, with a mean age of 39.5 (25-57) years and a mean duration of symptoms of 31.9 (2-240) months. In six patients the right foot was involved, five the left and both in one. Tinel's sign was positive pre-operatively in 12 feet and doubtful in one. All pre-operative EMGs, except for one, were consistent with a diagnosis of TTS. The findings were positive for the medial plantar nerve in four feet and for both plantar nerves in eight. There were significant foot deformities in five cases, three of which had pes planus, one splayfoot and one calcaneal fracture. Atrophy and weakness of the plantar muscles was found in one case, whose symptoms were c...

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Section: Methodsmentioning

confidence: 95%