Tarsal tunnel syndrome secondary to neurilemoma of the medial plantar nerve.

Menon, Jayasanker; Dorfman, Howard D.; Renbaum, J; Friedler, S.

doi:10.2106/00004623-198062020-00020

Cited by 32 publications

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“…Symptoms include pain, numbness and weakness of the toes. Night pain as been reported and different aetiologies proposed [1,4,15,17,23,29]. It is thought that night pain occurs in cases with hindfoot deformities, as altered foot posture causes tethering of the nerve [15,29].…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

“…However, in 17 of his 30 cases there were space-occupying lesions such as varicose veins, ganglia and synovitis. Menon [17] reported night pain in a case caused by a neurilemmoma. In our study six cases reported night pain.…”

Section: Discussionmentioning

confidence: 99%

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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“…This discomfort is often relieved by walking. 1,13,14,23,34,36,37,41,43 Theories about the cause of this phenomenon include venostasis with engorgement of the tibial veins 13 or nerve entrapment at multiple sites that creates a "double crush" syndrorne.P" longus rnuscte,"? rapid weight gain,8,14 fluid retention," and chronic thrombophlebitis."…”

Section: Historymentioning

confidence: 99%

Tarsal Tunnel Syndrome: A Review of the Literature

1999

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“…In addition to ganglia and talocalcaneal coalition, it has been described in association with neurofibroma, an intraneural ganglion, the flexor digitorum accessorius longus muscle, or a lipoma. [4][5][6][10][11][12][13][14] The clinical manifestations of tarsal tunnel syndrome are diagnostic. 3,20 A careful physical examination will demonstrate the presence of a palpable or diffuse swelling in the tarsal tunnel.…”

Section: Discussionmentioning

confidence: 99%

“…The aetiology has been considered to be idiopathic or post-traumatic, [3][4][5][6][7][8][9] with some cases due to a space-occupying lesion. [10][11][12][13][14] There are a number of reports which describe a tarsal tunnel syndrome caused by a ganglion, of which only a few give an adequate number of cases. 4,7,[15][16][17][18][19][20][21][22][23][24] We have reviewed 30 patients with a tarsal tunnel syndrome diagnosed and treated in our department, and have analysed the clinical presentation, diagnosis, and the outcome of surgery.…”

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confidence: 99%

Tarsal tunnel syndrome caused by ganglia

Nagaoka

Satou

1999

The Journal of Bone and Joint Surgery. British volume

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We describe in 30 feet the occurrence of a tarsal tunnel syndrome caused by a ganglion. The presenting symptom was numbness or pain in the toes and the sole with paraesthesiae in the distribution of the medial plantar nerve in 63% of the patients. Swellings which were not palpable were detected by ultrasonography. Twenty-nine patients were treated by operation. Most ganglia originated from the talocalcaneal joint, and five were associated with a talocalcaneal coalition. The surgical outcome was satisfactory in all patients except one who had a further operation for a recurrence of the ganglion.J Bone Joint Surg [Br] 1999;81-B:607-10.

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Tarsal tunnel syndrome secondary to neurilemoma of the medial plantar nerve.

Cited by 32 publications

References 0 publications

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

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

Tarsal Tunnel Syndrome: A Review of the Literature

Tarsal tunnel syndrome caused by ganglia

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