Tarsal tunnel syndrome in patients with rheumatoid arthritis, electrophysiological and ultrasound study

Ibrahim, Ibrahim Khalil; Medani, Sameh Hafez; Elhameed, Mowaffak M Abd; Imam, Mohamed Hassan; Shaaban, Mohamed Magdy Aly

doi:10.1016/j.ajme.2012.05.006

Cited by 10 publications

(12 citation statements)

References 32 publications

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“…The high detection rate for identifying both underlying nerve enlargement and its etiology is in keeping with what is reported . The high shear forces generated across the foot and the talo‐tarsal region likely explain why tibial nerve damage at the ankle has a high rate of perineural structural abnormality in comparison with the low rates seen in the hand in carpal tunnel syndrome .…”

Section: Discussioncontrasting

confidence: 99%

“…In a study that defined TTS clinically in patients with rheumatoid arthritis, Ibrahima et al found that the majority of patients had abnormality and signs of inflammation of the tendons in the tarsal tunnel on examination with ultrasound. These were documented as fascial plane fluid accumulation, increased blood flow, altered echogenicity of tendons, and tendon girth swelling . Unfortunately, the tibial nerve was not investigated.…”

Section: Discussionmentioning

confidence: 99%

“…The high detection rate for identifying both underlying nerve enlargement and its etiology is in keeping with what is reported. 1,4,12,20,21 The high shear forces generated across the foot and the talo-tarsal region likely explain why tibial nerve damage at the ankle has a high rate of perineural structural abnormality in comparison with the low rates seen in the hand in carpal tunnel syndrome. 22 One group reported their experience with imaging (both ultrasound and MRI) in TTS and suggested that the tibial nerve was mostly of normal size despite obvious nerve compression.…”

Section: Discussionmentioning

confidence: 99%

“…These were documented as fascial plane fluid accumulation, increased blood flow, altered echogenicity of tendons, and tendon girth swelling. 20 Unfortunately, the tibial nerve was not investigated. In our study, signs of tendon and soft tissue inflammation were not measured specifically.…”

Section: Discussionmentioning

confidence: 99%

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Nerve ultrasound in electrophysiologically verified tarsal tunnel syndrome

et al. 2016

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Nerve ultrasound in electrophysiologically verified tarsal tunnel syndrome

et al. 2016

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“…Additional extra‐articular manifestations include neurological manifestations such as tarsal tunnel syndrome and interdigital neuroma. These are believed to occur subsequent to compression caused by rheumatoid nodules, rheumatoid pannus, valgus deformity or other reasons (Vainio, ; Ibrahim et al, ).…”

Section: The Anatomy Of Rheumatoid Jointsmentioning

confidence: 99%

Rheumatoid arthritis in review: Clinical, anatomical, cellular and molecular points of view

Sharif

Jumah

et al. 2017

Clinical Anatomy

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Rheumatoid arthritis (RA) is the most common chronic autoimmune disease of the joints affecting close to 0.5-1.0% of the general population. Although the etiopathogenesis of RA remains elusive, the involvement of dendritic cells and type 17 T-helper cells appears to be pivotal in maintaining a state of chronic inflammation. RA is generally characterized by small joint involvement. A chronic inflammatory process leads to joint destruction and to tendon and ligament laxity and disintegration. These processes result in an imbalance of forces acting on the joints causing joint deformities including swan neck deformity, boutonniere deformity of the hands, flexion deformity of the wrist, lesser toe deformities, and others. In some instances, bony erosions subsequent to the RA disease process can result in life-threatening events including, for example, atlanto-axial subluxation, which can cause myelopathy and paralysis; and basilar invagination, which can cause brain stem injury and imminent death. Although less commonly involved, larger joints are not spared, as evidenced by the involvement of the elbow, hip, and shoulder joints in a sizable proportion of RA patients. The progression and prognosis of this disease entity are variable, guarded and dependent on the efficacy and response to treatment modalities employed. Inadequate management results in disease progression, which ultimately leads to joint erosion, destruction, deformities and substantial decrease in the functional quality of life. Clin. Anat. 31:216-223, 2018. © 2017 Wiley Periodicals, Inc.

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Rearfoot Entities

Vicenzino¹

2015

Management of Chronic Conditions in the Foot and Lower Leg

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Tarsal tunnel syndrome in patients with rheumatoid arthritis, electrophysiological and ultrasound study

Cited by 10 publications

References 32 publications

Nerve ultrasound in electrophysiologically verified tarsal tunnel syndrome

Nerve ultrasound in electrophysiologically verified tarsal tunnel syndrome

Rheumatoid arthritis in review: Clinical, anatomical, cellular and molecular points of view

Rearfoot Entities

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