Tarsal Tunnel Syndrome is the term used to designate the compression of the posterior tibial nerve within the tunnel or of one of its terminal branches leaving the tunnel. This syndrome is due to a neurogenic cause and affects the area supplied by the tibial nerve. The tibial nerve has three branches: the medial plantar nerve, the medial lateral nerve, and the medial calcaneus nerve. The osteof...

BACKGROUND Standard tibial motor nerve conduction measures are established with recording from the abductor hallucis. This technique is often technically challenging and clinicians have difficulty interpreting the information particularly in the short segment needed to assess focal tibial nerve entrapment at the medial ankle as occurs in posterior tarsal tunnel syndrome. The flexor hallucis bre...

A rare anomaly of a nonterminating tibial nerve is reported. It was found to be associated with tarsal tunnel syndrome. The nerve failed to divide in the tarsal tunnel and in the talocalcaneal canal distally to the Knot of Henry. The branches of the medial and lateral plantar nerves as well as the medial calcaneal nerve, the nerve to the abductor digiti quinti, and motor branches to the abducto...

This article contains bibliographical data concerning the rheumatic clinical manifestations in hypothyroidism: polyarthralgias, lack of recent skill of fine movements of the hands, carpal tunnel syndrome or tarsal, degenerative arthropathy or acute type (gout, chondrocalcinosis), adhesive capsulitis (frozen shoulder syndrome), generalized muscular stiffness, hypothyroid myopathy, secondary oste...

TARSAL tunnel syndrome is the pedal equivalent of carpal tunnel syndrome. The common aetiology of a tunnel syndrome is the compression of a nerve as it passes through an inextensible compartment. The nerve involved is the posterior tribial as it passes deep to the flexor rectinaculum, postero-inferior to the medial malleolus. The nerve divides to form the medial plantar, lateral plantar and cal...

Background There are many clinical intervention strategies for treating tarsal tunnel syndrome. The role of conservative versus surgical interventions at various stages of the disease process remains unclear, and there is a need for a structured, step-wise approach in treating patients with this syndrome based on derived empirical evidence. This narrative review attempts to analyse the literatu...

The patient is a 50-year old woman with past medical history of lupus presented to the clinic with left foot pain and was referred for electrodiagnostic evaluation of a tibial nerve entrapment. She initially had left heel pain which was diagnosed as plantar fasciitis 2 years ago by an outside clinician. She was treated with several injections of local steroid to the left heel prior to the curre...

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 ...

The fine dissection of nerves and blood vessels in the tarsal tunnel is necessary for clinical operations to provide anatomical information. A total of 60 feet from 30 cadavers were dissected. Two imaginary reference lines that passed through the tip of the medial malleolus were applied. A detailed description of the branch pattern and the corresponding position of the posterior tibial nerve, p...