Abstract
Tarsal tunnel syndrome (TTS) is a relatively uncommon compression neuropathy caused by impingement of the tibial nerve or one of the terminal branches. The presence of accessory musculature at the posteromedial aspect of the ankle has been identified as a rare cause of this condition. Despite the rarity of this condition, it must be considered in patients with refractory symptoms consistent with tibial nerve dysfunction. The accurate diagnosis of this condition relies heavily on a detailed history and physical examination, adequate imaging read by both surgeon and trained musculoskeletal radiologist, as well as a high level of suspicion for such pathology. In this case report, we describe a 46-year-old male with history, examination, and imaging all consistent with TTS secondary to accessory musculature. Following excision of an accessory soleus and flexor digitorum accessorius longus, as well as simultaneous tarsal tunnel release, the patient experienced full resolution of his symptoms. This highlights the importance of considering accessory musculature as a potential cause of TTS in patients presenting with tibial compression neuropathy. Levels of Evidence: Level V: Case Report.
| Original language | English (US) |
|---|---|
| Journal | Foot and Ankle Specialist |
| DOIs | |
| State | Accepted/In press - Jan 1 2019 |
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Keywords
- diagnostic and therapeutic techniques
- foot surgery techniques
- forefoot
- midfoot
- MRI diagnoses
- nerve compression syndromes
- neurological problems
- tarsal tunnel syndrome
- toe
ASJC Scopus subject areas
- Surgery
- Podiatry
- Orthopedics and Sports Medicine
Cite this
Tarsal Tunnel Syndrome Secondary to Accessory Musculature : A Case Report. / Neary, Kaitlin C.; Chang, Eric; Kreulen, Christopher; Giza, Eric.
In: Foot and Ankle Specialist, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Tarsal Tunnel Syndrome Secondary to Accessory Musculature
T2 - A Case Report
AU - Neary, Kaitlin C.
AU - Chang, Eric
AU - Kreulen, Christopher
AU - Giza, Eric
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Tarsal tunnel syndrome (TTS) is a relatively uncommon compression neuropathy caused by impingement of the tibial nerve or one of the terminal branches. The presence of accessory musculature at the posteromedial aspect of the ankle has been identified as a rare cause of this condition. Despite the rarity of this condition, it must be considered in patients with refractory symptoms consistent with tibial nerve dysfunction. The accurate diagnosis of this condition relies heavily on a detailed history and physical examination, adequate imaging read by both surgeon and trained musculoskeletal radiologist, as well as a high level of suspicion for such pathology. In this case report, we describe a 46-year-old male with history, examination, and imaging all consistent with TTS secondary to accessory musculature. Following excision of an accessory soleus and flexor digitorum accessorius longus, as well as simultaneous tarsal tunnel release, the patient experienced full resolution of his symptoms. This highlights the importance of considering accessory musculature as a potential cause of TTS in patients presenting with tibial compression neuropathy. Levels of Evidence: Level V: Case Report.
AB - Tarsal tunnel syndrome (TTS) is a relatively uncommon compression neuropathy caused by impingement of the tibial nerve or one of the terminal branches. The presence of accessory musculature at the posteromedial aspect of the ankle has been identified as a rare cause of this condition. Despite the rarity of this condition, it must be considered in patients with refractory symptoms consistent with tibial nerve dysfunction. The accurate diagnosis of this condition relies heavily on a detailed history and physical examination, adequate imaging read by both surgeon and trained musculoskeletal radiologist, as well as a high level of suspicion for such pathology. In this case report, we describe a 46-year-old male with history, examination, and imaging all consistent with TTS secondary to accessory musculature. Following excision of an accessory soleus and flexor digitorum accessorius longus, as well as simultaneous tarsal tunnel release, the patient experienced full resolution of his symptoms. This highlights the importance of considering accessory musculature as a potential cause of TTS in patients presenting with tibial compression neuropathy. Levels of Evidence: Level V: Case Report.
KW - diagnostic and therapeutic techniques
KW - foot surgery techniques
KW - forefoot
KW - midfoot
KW - MRI diagnoses
KW - nerve compression syndromes
KW - neurological problems
KW - tarsal tunnel syndrome
KW - toe
UR - http://www.scopus.com/inward/record.url?scp=85071431239&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071431239&partnerID=8YFLogxK
U2 - 10.1177/1938640019863277
DO - 10.1177/1938640019863277
M3 - Article
AN - SCOPUS:85071431239
JO - Foot and Ankle Specialist
JF - Foot and Ankle Specialist
SN - 1938-6400
ER -