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Related Experiment Videos

[Tarsal tunnel syndrome].

B Heimkes1, S Stotz, K Wolf

  • 1Orthopädische Poliklinik Innenstadt, Ludwig-Maximilians-Universität München.

Der Orthopade
|November 1, 1987
PubMed
Summary

Tarsal tunnel syndrome involves posterior tibial nerve compression at two key anatomical sites. Surgical treatment must address these specific narrow points for effective relief.

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Area of Science:

  • Orthopedics
  • Neurology
  • Anatomy

Background:

  • Tarsal tunnel syndrome (TTS) is a condition characterized by compression of the posterior tibial nerve.
  • Understanding the anatomical basis of TTS is crucial for accurate diagnosis and effective treatment.

Purpose of the Study:

  • To elucidate the natural history, diagnosis, and therapeutic options for tarsal tunnel syndrome.
  • To identify specific anatomical sites of nerve compression within the tarsal tunnel.

Main Methods:

  • Review of the natural history and diagnostic modalities for TTS.
  • Anatomical dissections and electrodiagnostic studies to correlate clinical findings with nerve compression.
  • Analysis of operative treatment strategies considering anatomical variations.

Main Results:

  • Anatomical investigations revealed two distinct points of narrowing within the tarsal tunnel.
  • These narrow points correspond to areas of potential posterior tibial nerve and plantar nerve compression.
  • Clinical and electrodiagnostic findings align with these identified anatomical constrictions.

Conclusions:

  • Tarsal tunnel syndrome results from compression of the posterior tibial nerve and its branches.
  • Effective surgical management requires addressing compression by the flexor retinaculum and the abductor hallucis muscle.
  • Targeting these specific anatomical sites is key to successful operative outcomes.

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