The Experts below are selected from a list of 486 Experts worldwide ranked by ideXlab platform
Tun Hing Lui - One of the best experts on this subject based on the ideXlab platform.
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acute posterior Tarsal Tunnel Syndrome caused by gouty tophus
Foot and Ankle Specialist, 2015Co-Authors: Tun Hing LuiAbstract:Gouty tophus of the Tarsal Tunnel is a rare cause of posterior Tarsal Tunnel Syndrome. We present a case of acute posterior Tarsal Tunnel Syndrome due to gouty tophus that required early Tarsal Tunnel release in order to avoid irreversible nerve damage. The presence of background neuropathy resulted in a less favorable result than expected. Levels of evidence Therapeutic, Level V: Case report.
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neurilemmoma of the first branch of the lateral plantar nerve causing Tarsal Tunnel Syndrome
Foot and Ankle Specialist, 2009Co-Authors: Ka Bon Kwok, Tun Hing LuiAbstract:In this article, the authors report a case of Tarsal Tunnel Syndrome caused by neurilemmoma of the first branch of the lateral plantar nerve, with symptom resolved after excision. A 42-year-old man presented with left medial heel pain radiating to the lateral sole for 6 months. On examination, there was positive Tinel sign over the medial heel with pain radiating to the lateral sole. Ultrasonography and magnetic resonance imaging confirmed the presence of a 1-cm neurogenic tumor inside the Tarsal Tunnel. Intraoperatively, a 1-cm neurilemmoma was found at the first branch of the lateral plantar nerve inside the Tarsal Tunnel. The lesion was excised completely with preservation of its fascicle. The symptom resolved completely after the operation.
Konrad Scheglmann - One of the best experts on this subject based on the ideXlab platform.
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posterior Tarsal Tunnel Syndrome diagnosis and treatment
Deutsches Arzteblatt International, 2008Co-Authors: Gregor Antoniadis, Konrad ScheglmannAbstract:Carpal and cubital Tunnel Syndromes are among the more common peripheral nerve compression Syndromes. Posterior Tarsal Tunnel Syndrome is relatively uncommon, though the literature contains no precise estimate of its prevalence. In our experience, it is diagnosed too often. Posterior Tarsal Tunnel Syndrome involves damage to the tibial nerve where it lies under the flexor retinaculum (laciniate ligament) on the medial side of the ankle. It is to be distinguished from anterior Tarsal Syndrome, in which the deep peroneal nerve is compressed under the extensor retinaculum on the dorsum of the foot. Pollock and Davis described posttraumatic compression of the tibial nerve as early as 1933 (1). In 1960, Kopell and Thompson described the clinical manifestations of Tarsal Tunnel Syndrome (2). Keck coined the expression "Tarsal Tunnel Syndrome" in his case report of 1962 (3). Keck thought that the condition was underdiagnosed and frequently misdiagnosed as plantar fasciitis. Keck and Lam independently recommended considering this type of compression Syndrome in the differential diagnosis whenever a patient complains of pain and paresthesia in the sole of the foot (3, 4). In this article, we will present the current state of the diagnostic assessment of posterior Tarsal Tunnel Syndrome and its treatment on the basis of a selective review of the literature and our own extensive experience.
Phinit Phisitkul - One of the best experts on this subject based on the ideXlab platform.
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bilateral anterior Tarsal Tunnel Syndrome variant secondary to extensor hallucis brevis muscle hypertrophy in a ballet dancer a case report
Foot and Ankle Surgery, 2014Co-Authors: Joshua N Tennant, Chamnanni Rungprai, Phinit PhisitkulAbstract:We present a case of bilateral anterior Tarsal Tunnel Syndrome secondary EHB hypertrophy in a dancer, with successful treatment with bilateral EHB muscle excisions for decompression. The bilateral presentation of this case with the treatment of EHB muscle excision is the first of its type reported in the literature.
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Tarsal Tunnel Syndrome associated with a perforating branch from posterior tibial artery: a case report.
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons, 2014Co-Authors: Arkaphat Kosiyatrakul, Suriya Luenam, Phinit PhisitkulAbstract:Tarsal Tunnel Syndrome, a compressive neuropathy of the tibial nerve or its branches with in the Tarsal Tunnel, is an uncommon condition. Various etiologies of the Syndrome have been described. We report a rare case of Tarsal Tunnel Syndrome associated with a perforating branch from the posterior tibial artery. A 56-year-old woman presented with 1-year history of paresthesia and hypoesthesia in the medial and lateral plantar area of the left foot. Tinel's sign was elicited at the Tarsal Tunnel. Electrodiagnostic studies confirmed the diagnosis of left Tarsal Tunnel Syndrome. Intraoperatively, the perforating branch from posterior tibial artery which traveled through a split in the tibial nerve was encountered. The patient's symptom improved significantly at 2 years after Tarsal Tunnel release and vascular ligation. Only a minor degree of paresthesia remains in the forefoot.
Lee A Dellon - One of the best experts on this subject based on the ideXlab platform.
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tibial nerve decompression in patients with Tarsal Tunnel Syndrome pressures in the Tarsal medial plantar and lateral plantar Tunnels
Plastic and Reconstructive Surgery, 2009Co-Authors: Gedge D Rosson, Allison R Larson, Eric H Williams, Lee A DellonAbstract:Background The anatomical basis for the surgical techniques used to treat Tarsal Tunnel Syndrome is not well studied. The authors sought to evaluate their hypotheses that (1) pronation and pronation with plantar flexion of the intact foot would have higher pressures than the intact foot in other positions; (2) decompression surgery would significantly lower the pressure in all three Tunnels in all foot positions, and roof incision plus septum excision would lower the pressure further in some positions; and (3) the pressures in symptomatic patients would be significantly higher than those in an analogous cadaver study. Methods In 10 patients with Tarsal Tunnel Syndrome, the authors intraoperatively measured pressures in the Tarsal, medial plantar, and lateral plantar Tunnels in multiple foot positions before and after excision of the Tunnel roofs and interTunnel septum. Results The authors found that (1) pronation and plantar flexion significantly increased pressures in the medial and lateral plantar Tunnels, to levels sufficient to cause chronic nerve compression; (2) Tunnel release and septum excision significantly decreased those pressures; and (3) compared with cadaver pressures, patients had similar Tarsal Tunnel pressures but higher lateral plantar Tunnel pressures in some positions. Conclusions Many surgeons operating on patients with Tarsal Tunnel Syndrome do not decompress the respective medial plantar and lateral plantar nerves and excise the septum. The authors' study validates the hypotheses that patients who are clinically suspected of having chronic compression of the tibial nerve and its branches at the ankle have higher Tunnel pressures and that releasing these structures decreases the pressures.
A T Aydin - One of the best experts on this subject based on the ideXlab platform.
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Tarsal Tunnel Syndrome the effect of the associated features on outcome of surgery
International Orthopaedics, 2002Co-Authors: Mustafa Urguden, Hakan Bilbasar, Hakan Ozdemir, Yetkin Soyuncu, Semih Gur, A T AydinAbstract: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.
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Tarsal Tunnel Syndrome secondary to neurilemoma of the medial plantar nerve
The Journal of foot surgery, 1991Co-Authors: A T Aydin, S Karaveli, S TuzunerAbstract:A neurilemoma of the medial plantar nerve was observed in a 52-year-old Caucasian female. She was diagnosed with Tarsal Tunnel Syndrome by clinical and electromyographic examination. This case was followed up for 18 months and has been presented as a very rare cause of Tarsal Tunnel Syndrome. Relevant literature was reviewed.
