Tarsal Tunnel Syndrome in Hemodialysis Patients

Imai, Kojiro; Ikoma, Kazuya; Imai, Ryo; Fujiwara, Hiroyoshi; Kido, Masamitsu; Hara, Yusuke; Ono, Toshihiko; Kubo, Toshikazu

doi:10.1177/1071100712466388

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…Identified medical conditions include hypothyroidism, diabetes mellitus, systemic sclerosis, chronic renal failure. 4,7,[15][16][17][18][19][20][21] The myxedema that occurs in hypothyroidism can lead to tarsal tunnel syndrome from the increased swelling of tissues in the tarsal tunnel. 17 Patients affected by diabetes mellitus have higher rates of tarsal tunnel syndrome due to the chronic compression of the posterior tibial nerve which can further lead to diabetic foot ulceration.…”

Section: Orthopedic Reviewsmentioning

confidence: 99%

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Clinical Results Following Conservative Management of Tarsal Tunnel Syndrome Compared With Surgical Treatment: A Systematic Review

Vij

Kaley

Robinson³

et al. 2022

Orthopedic Reviews

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Introduction Posterior tarsal tunnel syndrome involves entrapment of the posterior tibial nerve as it travels in the groove posterior to the medial malleolus. Conventional wisdom dictates that patients with tarsal tunnel syndrome be treated with conservative treatment and medical management, with surgical options available for patients with refractory symptoms and good candidacy. Minimally invasive options for neuropathic entrapment syndromes have developed in recent years and may provide a therapeutic role in tarsal tunnel syndrome. Objective The present investigation provides a summary of the current state of knowledge on tarsal tunnel syndrome and a comparison between minimally invasive and surgical treatment options. Methods The literature search was performed in Mendeley. Search fields were varied until redundant. All articles were screened by title and abstract and a preliminary decision to include an article was made. A full-text screening was performed on the selected articles. Any question regarding the inclusion of an article was discussed by 3 authors until an agreement was reached. Results Most commonly tarsal tunnel syndrome is idiopathic. Other reported causes include post-traumatic, lipomas, cysts, ganglia, schwannomas, ganglia, varicose plantar veins, anatomic anomalies, and systematic inflammatory conditions. Several risk factors have been described including female gender, athletic participation, hypothyroidism, diabetes mellitus, systemic sclerosis, chronic renal failure, and hemodialysis use. A few recent studies demonstrate anatomic variants that have not previously been summarized. Three articles describe clinical outcomes after conservative treatment with acceptable results for first line treatment. Two primary articles report on the use of minimally invasive treatment for tarsal tunnel syndrome. Fourteen articles report on the clinical outcomes after surgical management. Conclusion Clinical understanding of tarsal tunnel syndrome has evolved significantly, particularly with regards to the pathoanatomy of the tarsal canal over the past twelve years. A few novel anatomic studies shed light on variants that can be helpful in diagnosis. Conservative management remains a good option that can resolve the symptoms of many patients. As more prospective cohorts and clinical trials are performed on minimally invasive options, pulsed radiofrequency and neuromodulation may evolve to play a larger role in the treatment of this condition. Currently, surgical treatment is only pursued in a very select group of patients with refractory symptoms that do not respond to medical or minimally invasive options. Surgical outcomes in the literature are good and current evidence is stronger than that for minimally invasive options.

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Section: Orthopedic Reviewsmentioning

confidence: 99%

“…18,19 Hemodialysis patients were found to have tarsal tunnel syndrome with rates up to 0.5% with increasing prevalence as maintenance dialysis went beyond 5 years most likely due to the deposition of beta-2 microglobulin. 21…”

Section: Orthopedic Reviewsmentioning

confidence: 99%

Clinical Results Following Conservative Management of Tarsal Tunnel Syndrome Compared With Surgical Treatment: A Systematic Review

Vij

Kaley

Robinson³

et al. 2022

Orthopedic Reviews

View full text Add to dashboard Cite

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“…9 Tarsal tunnel syndrome is common in patients with diabetes mellitus, the cause of which may be multifactorial and related to repeated undetected trauma due to sensory impairment from peripheral neuropathy, metabolic changes related to diabetes mellitus itself, and diabetic cheiroarthropathy, a condition of painless limited joint mobility that may encourage accumulation of fluid within the confined space of the tarsal tunnel. 10,11 Patients with tarsal tunnel syndrome present with posteromedial ankle pain and varied neurologic symptoms depending on the specific area of entrapment. If the entrapment is proximal, patients present with entire foot numbness.…”

Section: Pathology Of the Tibial Nerve And Its Branches Tarsal Tunnelmentioning

confidence: 99%

Nerve Entrapment in Ankle and Foot: Ultrasound Imaging

Chari

McNally

2018

Semin Musculoskelet Radiol

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Peripheral nerve entrapment of the ankle and foot is relatively uncommon and often underdiagnosed because electrophysiologic studies may not contribute to the diagnosis. Anatomy of the peripheral nerves is variable and complex, and along with a comprehensive physical examination, a thorough understanding of the applied anatomy is essential. Several studies have helped identify specific areas in which nerves are commonly compressed. Identified secondary causes of nerve compression include previous trauma, osteophytes, ganglion cysts, edema, accessory muscles, tenosynovitis, vascular lesions, and a primary nerve tumor. Imaging plays a key role in identifying primary and secondary causes of nerve entrapment, specifically ultrasound (US) and magnetic resonance imaging. US is a dynamic imaging modality that is cost effective and offers excellent resolution. Symptoms of nerve entrapment may mimic other common foot and ankle conditions such as plantar fasciitis.

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“…In einer Studie an 1011 Patienten, die länger als 5 Jahre dialysiert wurden, fanden sich fünf Fälle eines Tarsaltunnelsyndroms (davon 2 beidseitig), was einem Prozentsatz von 0,5 % entsprach (Imai et al 2013). Bei den drei operierten Fällen waren histologisch amyloidales Material und Beta-s-Mikroglobuline in den Sehnenscheiden nachweisbar, in einem Fall außerdem ein Ganglion.…”

Section: Pathogeneseunclassified

Nervenkompressionssyndrome

2015

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Tarsal Tunnel Syndrome in Hemodialysis Patients

Abstract: Level IV, retrospective case series.

Cited by 6 publications

References 22 publications

Clinical Results Following Conservative Management of Tarsal Tunnel Syndrome Compared With Surgical Treatment: A Systematic Review

Clinical Results Following Conservative Management of Tarsal Tunnel Syndrome Compared With Surgical Treatment: A Systematic Review

Nerve Entrapment in Ankle and Foot: Ultrasound Imaging

Nervenkompressionssyndrome

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