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Tarsal tunnel syndrome.

E L Radin

    Clinical Orthopaedics and Related Research
    |December 1, 1983
    PubMed
    Summary

    Tarsal tunnel syndrome is often linked to foot deformities like varus heels. Surgical release of the flexor retinaculum is highly effective for planovarus deformities causing this condition.

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    Area of Science:

    • Podiatry
    • Orthopedic Surgery
    • Neurology

    Background:

    • Tarsal tunnel syndrome (TTS) is a condition affecting the foot.
    • Foot deformities such as varus heels and pronated, splayed forefeet may be associated with TTS.

    Purpose of the Study:

    • To investigate the association between foot deformities and tarsal tunnel syndrome.
    • To evaluate treatment outcomes for TTS in patients with specific foot morphologies.

    Main Methods:

    • Review of existing literature and author's clinical experience.
    • Analysis of 14 patients with TTS and associated foot deformities.
    • Assessment of treatment efficacy, including surgical intervention and orthotic devices.

    Main Results:

    • A strong association was found between TTS, varus heels, and pronated, splayed forefeet.
    • Surgical release of the flexor retinaculum demonstrated over 90% success rate in patients with planovarus deformity.
    • Outer heel wedges were ineffective for fixed varus deformities but offered symptomatic relief for flexible hindfeet.

    Conclusions:

    • Varus heels and pronated, splayed forefeet are likely common causes of TTS.
    • Surgical intervention is the preferred treatment for TTS in patients with planovarus deformity.
    • TTS is underdiagnosed and should be considered in patients with specific foot pain patterns and deformities.

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