Neurovascular decompression for idiopathic tarsal tunnel syndrome: technical note

Neurovascular decompression for idiopathic tarsal tunnel syndrome: technical note.

OBJECTIVE The surgical outcome of idiopathic tarsal tunnel syndrome (TTS) is reported to be worse than that attributable to ganglion, tarsal coalition, or tumour, and therefore further development in the surgical treatment for idiopathic TTS is considered to be necessary. Here the efficacy of neurovascular decompression for patients with idiopathic TTS is evaluated. METHODS Twelve feet from n...

Neurovascular Bundle Decompression without Excessive Dissection for Tarsal Tunnel Syndrome

Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve and its branches in the tarsal tunnel. We present our less invasive surgical treatment of TTS in 69 patients (116 feet) and their clinical outcomes. The mean follow-up period was 64.6 months. With the patient under local anesthesia we use a microscope to perform sharp dissection of the flexor retinaculum and ...

Neurovascular branching in the tarsal tunnel

Tarsal-tunnel syndrome.

In 14 patients tarsal tunnel syndrome was associated with varus heels and pronated, splayed forefeet. Review of the literature and the author's experience suggest that these conditions may be a common cause of the tarsal tunnel syndrome. Treatment of fixed varus deformities of the heel by outer heel wedges has been shown to be ineffective. Although outer heel wedges provide symptomatic relief i...

Tarsal Tunnel Syndrome

The tarsal tunnel syndrome consists of a complex of symptoms affecting the foot and is thought to be due to a compression neuropathy of the posterior tibial nerve within the fibro-osseous “ tunnel “ that lies beneath the flexor retinaculum on the medial side of the ankle. No comprehensive description of this condition can be found until 1962, when two isolated cases were reported (Keck 1962, La...