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Tarsal tunnel syndrome in athletes
Mitsuo Kinoshita1, Ryuzo Okuda, Toshito Yasuda
1Department of Orthopedic Surgery, Osaka Medical College, Osaka, Japan. mitsuok@poh.osaka-med.ac.jp
Background:
The details of the occurrence of tarsal tunnel syndrome in athletes have not been well documented in the literature, and more data on tarsal tunnel syndrome related to sporting activity are necessary to enable better recognition of this condition.
Hypothesis:
Sporting activities make athletes vulnerable to the occurrence of tarsal tunnel syndrome under specific conditions.
Study Design:
Case series; Level of evidence, 4.
Methods:
Between 1986 and 2002, 18 patients with tarsal tunnel syndrome related to sporting activities were surgically treated, of whom 15 patients (21 feet; mean age, 17.8 years) were competitive athletes and 3 were recreational sports amateurs (4 feet; mean age, 52.7 years). To assess the role of physical factors and sporting activities in making athletes vulnerable to the occurrence of tarsal tunnel syndrome, the authors reviewed the medical charts and evaluated the results of treatment. The mean duration of follow-up was 58.6 months.
Results:
Activities that triggered tarsal tunnel syndrome were those that applied a heavy burden on the ankle joint such as sprinting, jumping, and performing ashibarai in judo under specific physical conditions. Predisposing underlying physical factors were flatfoot deformity and an existence of talocalcaneal coalition, accessory muscles, and bony fragments around the tarsal tunnel. The majority of patients were able to return to the same sport after treatment.
Conclusion:
Tarsal tunnel syndrome occurs in athletes involved in strenuous sporting activities, especially when predisposing physical factors are present.
