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2014, Number 2

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Ortho-tips 2014; 10 (2)

Tarsal tunnel syndrome

López AL, Clifton CJF, Navarro BE, Villarruel SÁ, Zermeño RJJ, Espinosa de los Monteros KAF, Gutiérrez MI, Romo RR

Language: Spanish
References: 36
Page: 105-116
PDF size: 1379.49 Kb.


ABSTRACT

The tarsal tunnel syndrome is a complex of signs and symptoms resulting from compression of the posterior tibial nerve or compression of the plantar nerves in the tarsal tunnel, which lies under the flexor retinaculum. The main cause is traumatic. It is more common in women between 40 and 45. It is a common condition, but underdiagnosed which is characterized by pain in medial ankle and foot burning type, accompanied by paresthesias, hypoesthesias, dysesthesias cramps or presence of this anatomical area. Supported the diagnosis of provocative maneuvers (Tinel maneuvers, investment and forced eversion, forced valgus and dorsiflexion of the foot) is made. We can find in chronic cases, weakness or atrophy of the intrinsic muscles of the foot. To support the diagnosis has ultrasound and MRI, two effective methods. Electromyography (conduction velocity) plays a very important role. The initial management can be formed with conservative measures, but the symptoms continue for more than six months should be evaluated surgical management, either open or endoscopic technique. The prognosis depends on early and timely diagnosis, medical intervention and/or surgery, plus the severity of damage submitted prior to medical management.


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