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Updated: Jul 3, 2026
06:40
Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
11.2K
Tarsal Tunnel Syndrome: A Clinical Review
Hiroto Yoshida1,2, Kyongsong Kim3, Takato Tajiri2
1Department of Neurosurgery, Matsumoto Hospital.
Summary
Tarsal tunnel syndrome, caused by tibial nerve compression, often lacks a clear cause and significantly impacts quality of life. Early diagnosis and surgical considerations are key for managing this condition.
Area of Science:
- Orthopedics
- Neurology
- Podiatry
Background:
- Tarsal tunnel syndrome (TTS) involves tibial nerve compression within the tarsal tunnel, frequently presenting as idiopathic.
- Plantar symptoms associated with TTS diminish patients' quality of life, often exacerbated by walking and ankle movement.
Purpose of the Study:
- To summarize the clinical presentation, diagnostic challenges, and management considerations for tarsal tunnel syndrome.
- To compare surgical outcomes of TTS with carpal tunnel syndrome.
Main Methods:
- Review of clinical symptoms and diagnostic imaging findings for TTS.
- Analysis of surgical techniques and patient outcomes for TTS and carpal tunnel syndrome.
Main Results:
- TTS symptoms mimic diabetic neuropathy and lumbar disease, making clinical evaluation crucial.
- Magnetic resonance imaging can show nerve compression but may yield false positives and struggle to identify causative factors.
- Zigzag incisions may reduce wound complications post-TTS surgery.
- Carpal tunnel syndrome surgery generally offers better outcomes and patient satisfaction than TTS surgery.
Conclusions:
- Accurate clinical assessment is vital for diagnosing TTS due to symptom overlap with other conditions.
- While imaging aids diagnosis, identifying the cause of TTS remains challenging.
- Surgical outcomes for TTS may be less favorable compared to carpal tunnel syndrome, highlighting the need for improved treatment strategies.
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