Tarsal tunnel syndrome

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Classification according to ICD-10
G57.5 Tarsal tunnel syndrome
ICD-10 online (WHO version 2019)

The tarsal tunnel syndrome is a rare nerve compression syndrome of the tibial nerve at the ankle in the tarsal tunnel .

root cause

The nerve compression in the flexor retinaculum on the inside of the ankle joint can be the result of a broken bone, a sprain, or it can occur idiopathically for no apparent reason.

Clinical manifestations

Clinical criteria are:

Hypesthesia , paresthesia , sometimes dysesthesia in the foot area, development of paresis of the foot muscles and pain on pressure over the distal course of the tibial nerve.

diagnosis

Detection and classification criteria for electromyography were described by PE Kaplan . Apparently the lateral branch of the nerve is affected earlier than the medial one. The diagnosis is based on the clinical-neurological and neurophysiological findings.

An imaging examination is required to clarify the cause or if nerve tumors or ganglia in the tarsal tunnel are suspected .

therapy

A surgical procedure is carried out at therapy-resistant dysesthesia or neurological deficits by cleavage of the flexor retinaculum in the tarsal tunnel and extensive exposure of the nerve. The success rate is considered very good.

history

As early as 1932, L. Pollock and L. Davis published a case report on post-traumatic compression of the tibial nerve; the symptoms of the tarsal tunnel syndrome were described in 1960 by HP Kopell and WA Thompson . The term was coined in 1962 by Charles Keck and SJ Lam .

literature

  • SC McSweeney, M. Cichero: Tarsal tunnel syndrome-A narrative literature review. In: Foot (Edinburgh, Scotland). Volume 25, number 4, December 2015, pp. 244-250, doi: 10.1016 / j.foot.2015.08.008 , PMID 26546070 (review).
  • A. Schuh, W. Hönle: Painful inner ankle: tibial nerve in a bottleneck? Series “Das kleine Fußübel” (10): Tarsal tunnel syndrome. In: MMW Advances in Medicine. Vol. 150, No. 51-52, December 2008, p. 40, PMID 19156955 (review).
  • B. Herbsthofer, T. Vogt, A. Karbowski, O. Krischek: Long-term results after surgical treatment of the tarsal tunnel syndrome. In: Journal for orthopedics and their border areas. Vol. 136, No. 1, 1998 Jan-Feb, pp. 77-82, doi: 10.1055 / s-2008-1051287 , PMID 9563191 .
  • B. Hermann, B. Ritter, D. Steiner, G. Eggers-Ströder: Etiology, diagnosis and therapy of the tarsal tunnel syndrome - results of a retrospective study. In: Journal for orthopedics and their border areas. Vol. 129, No. 4, 1991 Jul-Aug, pp. 332-335, doi: 10.1055 / s-2008-1040251 , PMID 1833924 .

Individual evidence

  1. ↑ a b Willibald Pschyrembel : Clinical Dictionary , 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0, keyword tarsal tunnel syndrome
  2. ↑ Entry on tarsal tunnel syndrome in Flexikon , a wiki of the DocCheck company
  3. ↑ PE Kaplan, WT Kernahan: tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. In: The Journal of bone and joint surgery. American volume. Vol. 63, No. 1, January 1981, pp. 96-99, PMID 7451530 .
  4. ^ A b G. Antoniadis, K. Scheglmann: Posteriores tarsal tunnel syndrome. Diagnosis and therapy options. In: Deutsches Ärzteblatt 2008 , Vol. 105, No. 45, pp. 776–81 [1]
  5. ^ EA Tawfik, AK El Zohiery, AA Abouelela: Proposed Sonographic Criteria for the Diagnosis of Idiopathic Tarsal Tunnel Syndrome. In: Archives of physical medicine and rehabilitation. Vol. 97, No. 7, July 2016, pp. 1093-1099, doi: 10.1016 / j.apmr.2015.11.012 , PMID 26705883 .
  6. ^ S. Trattnig, M. Breitenseher, J. Haller, T. Helbich, C. Gäbler, H. Imhof: Tarsal tunnel syndrome. MRI diagnostics. In: The Radiologist. Vol. 35, No. 7, July 1995, pp. 468-472, PMID 7676025 (review).
  7. ↑ L. Pollock, L. Davis: Peripheral nerve injuries. In: American Journal of Surgery , 1932, vol. 18, p. 361
  8. ↑ HP Kopell, WA THOMPSON: Peripheral entrapment neuropathies of the lower extremity. In: The New England Journal of Medicine . Vol. 262, August 1960, pp. 56-60, doi: 10.1056 / NEJM196001142620202 , PMID 13848498 .
  9. ^ C. Keck: The tarsal tunnel syndrome. In: Journal of Bone and Joint Surgery (A) , 1862, Vol. 44, pp. 180-182
  10. ^ SJ LAM: A tarsal-tunnel syndrome. In: Lancet (London, England). Vol. 2, No. 7270, December 1962, pp. 1354-1355, PMID 13928212 .

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