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Open Access 01-01-2019 | Original Article

Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome—Part II

Authors: Alejandro Fernández-Gibello, Simone Moroni, Gabriel Camuñas, Rubén Montes, Marit Zwierzina, Christoph Tasch, Vasco Starke, José Sañudo, Teresa Vazquez, Marko Konschake

Published in: Surgical and Radiologic Anatomy | Issue 1/2019

Abstract

Background

The aim of this study is to provide a safe ultrasound-guided minimally invasive surgical approach for a proximal tarsal tunnel release concerning nerve entrapments.

Methods and results

The study was carried out on ten fresh-frozen feet. All of them were examined by high resolution ultrasound at the medial ankle region. The surgical approach was marked throughout the course of the flexor retinaculum (laciniate ligament). Once the previous steps were done, the flexor retinaculum release technique was carried out with a 2-mm entry only. As a result, an effective and safe release of the flexor retinaculum was obtained in all fresh-frozen feet.

Conclusion

The results of our anatomic study indicate that our novel ultrasound-guided minimally invasive surgical approach for the release of the flexor retinaculum might be an effective, safe and quick decompression technique treating selected patients with a proximal tarsal tunnel syndrome.

Alshami AM, Cairns CW, Wylie BK, Souvlis T, Coppieters MW (2009) Reliability and size of the measurement error when determining the cross-sectional area of the tibial nerve at the tarsal tunnel with ultrasonography. Ultrasound Med Biol 35(7):1098–1102. https://doi.org/10.1016/j.ultrasmedbio.2009.01.011 CrossRefPubMed

Alshami AM, Souvlis T, Coppieters MW (2008) A review of plantar heel pain of neural origin: differential diagnosis and management. Man Ther 13(2):103–111. https://doi.org/10.1016/j.math.2007.01.014 CrossRefPubMed

Antoniadis G, Scheglmann K (2008) Posterior tarsal tunnel syndrome: diagnosis and treatment. Dtsch Arztebl Int 105(45):776–781. https://doi.org/10.3238/arztebl.2008.0776 CrossRefPubMedPubMedCentral

Barrett SJ, O’Malley R (1999) Plantar fasciitis and other causes of heel pain. Am Fam Physician 59(8):2200–2206PubMed

Beard NM, Gousse RP (2018) Current Ultrasound Application in the Foot and Ankle. Orthop Clin N Am 49(1):109–121. https://doi.org/10.1016/j.ocl.2017.08.013 CrossRef

Butler DS (2000) The sensitive nervous system. Noigroup publications, Unley

Cimino WR (1990) Tarsal tunnel syndrome: review of the literature. Foot Ankle 11(1):47–52CrossRefPubMed

Daniels TR, Lau JT, Hearn TC (1998) The effects of foot position and load on tibial nerve tension. Foot Ankle Int 19(2):73–78. https://doi.org/10.1177/107110079801900204 CrossRefPubMed

Day FN III, Naples JJ (1996) Endoscopic tarsal tunnel release: update 96. J Foot Ankle Surg 35(3):225–229CrossRefPubMed

10.

Delfaut EM, Demondion X, Bieganski A, Thiron MC, Mestdagh H, Cotten A (2003) Imaging of foot and ankle nerve entrapment syndromes: from well-demonstrated to unfamiliar sites. Radiographics 23(3):613–623. https://doi.org/10.1148/rg.233025053 CrossRefPubMed

11.

Dellon A (1984) Tinel or not tinel. J Hand Surg 9(2):216–216CrossRef

12.

Dellon AL, Mackinnon SE (1984) Tibial nerve branching in the tarsal tunnel. Arch Neurol 41(6):645–646CrossRefPubMed

13.

Erickson SJ, Quinn SF, Kneeland JB, Smith JW, Johnson JE, Carrera GF, Shereff MJ, Hyde JS, Jesmanowicz A (1990) MR imaging of the tarsal tunnel and related spaces: normal and abnormal findings with anatomic correlation. AJR Am J Roentgenol 155(2):323–328. https://doi.org/10.2214/ajr.155.2.2115260 CrossRefPubMed

14.

Franson J, Baravarian B (2006) Tarsal tunnel syndrome: a compression neuropathy involving four distinct tunnels. Clin Podiatr Med Surg 23(3):597–609. https://doi.org/10.1016/j.cpm.2006.04.005 CrossRefPubMed

15.

García EN (2017) Principios de la cirugía mínimamente invasiva. Cirugía mínimamente invasiva del pie 23

16.

Gould JS (2011) Tarsal tunnel syndrome. Foot Ankle Clin 16(2):275–286. https://doi.org/10.1016/j.fcl.2011.01.008 CrossRefPubMed

17.

Gupta R, Rummler LS, Palispis W, Truong L, Chao T, Rowshan K, Mozaffar T, Steward O (2006) Local down-regulation of myelin-associated glycoprotein permits axonal sprouting with chronic nerve compression injury. Exp Neurol 200(2):418–429. https://doi.org/10.1016/j.expneurol.2006.02.134 CrossRefPubMed

18.

Hendrix CL, Jolly GP, Garbalosa JC, Blume P, DosRemedios E (1998) Entrapment neuropathy: the etiology of intractable chronic heel pain syndrome. J Foot Ankle Surg 37(4):273–279CrossRefPubMed

19.

Iborra A, Villanueva M, Barrett SL, Rodriguez-Collazo E, Sanz P (2018) Anatomic delineation of tarsal tunnel innervation via ultrasonography. J Ultrasound Med 37(6):1325–1334. https://doi.org/10.1002/jum.14499 CrossRefPubMed

20.

Jolly GP, Zgonis T, Hendrix CL (2005) Neurogenic heel pain. Clin Podiatr Med Surg 22(1):101–113. https://doi.org/10.1016/j.cpm.2004.08.008 vii.CrossRefPubMed

21.

Joshi S, Joshi S, Athavale S (2006) Anatomy of tarsal tunnel and its applied significance. J Anat Soc India 55(1):52–56

22.

Keck C (1962) The tarsal-tunnel syndrome. J Bone Joint Surg 44(1):180–182. https://doi.org/10.2106/00004623-196244010-00015 CrossRef

23.

Kelikian AS, Sarrafian SK (2011) Sarrafian’s anatomy of the foot and ankle: descriptive, topographic, functional. Lippincott Williams & Wilkins, Philadelphia

24.

Kim E, Childers MK (2010) Tarsal tunnel syndrome associated with a pulsating artery: effectiveness of high-resolution ultrasound in diagnosing tarsal tunnel syndrome. J Am Podiatr Med Assoc 100(3):209–212CrossRefPubMed

25.

Kinoshita M, Okuda R, Morikawa J, Jotoku T, Abe M (2001) The dorsiflexion-eversion test for diagnosis of tarsal tunnel syndrome. J Bone Joint Surg Am 83-A(12):1835–1839CrossRef

26.

Konschake M, Brenner E (2014) “Mors auxilium vitae”—Causes of death of body donors in an Austrian anatomical department. Ann Anat 196(6):387–393CrossRefPubMed

27.

Kopell HP, Thompson WA (1960) Peripheral entrapment neuropathies of the lower extremity. N Engl J Med 262(2):56–60. https://doi.org/10.1056/NEJM196001142620202 CrossRefPubMed

28.

Krishnan KG, Pinzer T, Schackert G (2006) A novel endoscopic technique in treating single nerve entrapment syndromes with special attention to ulnar nerve transposition and tarsal tunnel release: clinical application. Neurosurgery 59(1 Suppl 1):ONS89–O100. https://doi.org/10.1227/01.NEU.0000219979.23067.5C (discussion ONS189–100) CrossRefPubMed

29.

Kuster G (1968) Anatom of the veins of the foot. Surg Gynec Obstet 127:817–823PubMed

30.

Lam SJ (1967) Tarsal tunnel syndrome. J Bone Joint Surg Br 49(1):87–92CrossRefPubMed

31.

Lau JT, Daniels TR (1999) Tarsal tunnel syndrome: a review of the literature. Foot Ankle Int 20(3):201–209. https://doi.org/10.1177/107110079902000312 CrossRefPubMed

32.

Lee D, Dauphinee DM (2005) Morphological and functional changes in the diabetic peripheral nerve—using diagnostic ultrasound and neurosensory testing to select candidates for nerve decompression. J Am Podiatr Med Assoc 95(5):433–437. https://doi.org/10.7547/0950433 CrossRefPubMed

33.

Mann RA (1976) Orthopedics: tarsal tunnel syndrome. West J Med 125(5):380–381PubMedPubMedCentral

34.

McHanwell S, Brenner E, Chirculescu A, Drukker J, van Mameren H, Mazzotti G, Pais D, Paulsen F, Plaisant O, Caillaud M (2018) The legal and ethical framework governing Body Donation in Europe-A review of current practice and recommendations for good practice. Eur J Anat 12(1):1–24

35.

Mook WR, Gay T, Parekh SG (2013) Extensile decompression of the proximal and distal tarsal tunnel combined with partial plantar fascia release in the treatment of chronic plantar heel pain. Foot Ankle Spec 6(1):27–35. https://doi.org/10.1177/1938640012470718 CrossRefPubMed

36.

Nagaoka M, Matsuzaki H (2005) Ultrasonography in tarsal tunnel syndrome. J Ultrasound Med 24(8):1035–1040CrossRefPubMed

37.

Padua L, Aprile I, Pazzaglia C, Frasca G, Caliandro P, Tonali P, Martinoli C (2007) Contribution of ultrasound in a neurophysiological lab in diagnosing nerve impairment: a one-year systematic assessment. Clin Neurophysiol 118(6):1410–1416. https://doi.org/10.1016/j.clinph.2007.03.011 CrossRefPubMed

38.

Patel AT, Gaines K, Malamut R, Park TA, Toro DR, Holland N, American Association of N, Electrodiagnostic M (2005) Usefulness of electrodiagnostic techniques in the evaluation of suspected tarsal tunnel syndrome: an evidence-based review. Muscle Nerve 32(2):236–240. https://doi.org/10.1002/mus.20393 CrossRefPubMed

39.

Riazi S, Bril V, Perkins BA, Abbas S, Chan VW, Ngo M, Lovblom LE, El-Beheiry H, Brull R (2012) Can ultrasound of the tibial nerve detect diabetic peripheral neuropathy? A cross-sectional study. Diabetes Care 35(12):2575–2579CrossRefPubMed

40.

Rojo-Manaute JM, Capa-Grasa A, Chana-Rodriguez F, Perez-Mananes R, Rodriguez-Maruri G, Sanz-Ruiz P, Munoz-Ledesma J, Aburto-Bernardo M, Esparragoza-Cabrera L, Cerro-Gutierrez MD, Vaquero-Martin J (2016) Ultra-minimally invasive ultrasound-guided carpal tunnel release: a randomized clinical trial. J Ultrasound Med 35(6):1149–1157. https://doi.org/10.7863/ultra.15.07001 CrossRef

41.

Rojo-Manaute JM, Capa-Grasa A, Rodriguez-Maruri GE, Moran LM, Martinez MV, Martin JV (2013) Ultra-minimally invasive sonographically guided carpal tunnel release: anatomic study of a new technique. J Ultrasound Med 32(1):131–142CrossRefPubMed

42.

Rojo-Manaute JM, Rodriguez-Maruri G, Capa-Grasa A, Chana-Rodriguez F, Soto Mdel V, Martin JV (2012) Sonographically guided intrasheath percutaneous release of the first annular pulley for trigger digits, part 1: clinical efficacy and safety. J Ultrasound Med 31(3):417–424CrossRefPubMed

43.

Rose JD, Malay DS, Sorrento DL (2003) Neurosensory testing of the medial calcaneal and medial plantar nerves in patients with plantar heel pain. J Foot Ankle Surg 42(4):173–177. https://doi.org/10.1053/jfas.2003.50045 CrossRefPubMed

44.

Rosson GD, Larson AR, Williams EH, Dellon AL (2009) Tibial nerve decompression in patients with tarsal tunnel syndrome: pressures in the tarsal, medial plantar, and lateral plantar tunnels. Plast Reconstr Surg 124(4):1202–1210. https://doi.org/10.1097/PRS.0b013e3181b5a3c3 CrossRefPubMed

45.

Sammarco GJ, Chang L (2003) Outcome of surgical treatment of tarsal tunnel syndrome. Foot Ankle Int 24(2):125–131. https://doi.org/10.1177/107110070302400205 CrossRefPubMed

46.

Schon LC, Glennon TP, Baxter DE (1993) Heel pain syndrome: electrodiagnostic support for nerve entrapment. Foot Ankle 14(3):129–135CrossRefPubMed

47.

Sessions J, Nickerson DS (2014) Biologic basis of nerve decompression surgery for focal entrapments in diabetic peripheral neuropathy. J Diabetes Sci Technol 8(2):412–418. https://doi.org/10.1177/1932296814525030 CrossRefPubMedPubMedCentral

48.

Shacklock M (2005) Clinical neurodynamics: a new system of musculoskeletal treatment. Elsevier Health Sciences, New York

49.

Sofka CM, Collins AJ, Adler RS (2001) Use of ultrasonographic guidance in interventional musculoskeletal procedures - A review from a single institution. J Ultrasound Med 20(1):21–26CrossRefPubMed

50.

Takakura Y, Kitada C, Sugimoto K, Tanaka Y, Tamai S (1991) Tarsal tunnel syndrome. Causes and results of operative treatment. J Bone Joint Surg Br 73(1):125–128CrossRefPubMed

51.

Tassler PL, Dellon AL (1996) Pressure perception in the normal lower extremity and in the tarsal tunnel syndrome. Muscle Nerve 19(3):285–289. https://doi.org/10.1002/(SICI)1097-4598(199603)19:3%3C285::AID-MUS2%3E3.0.CO;2-9 CrossRefPubMed

52.

Tawfik EA, El Zohiery AK, Abouelela AA (2016) Proposed sonographic criteria for the diagnosis of idiopathic tarsal tunnel syndrome. Arch Phys Med Rehabil 97(7):1093–1099. https://doi.org/10.1016/j.apmr.2015.11.012 CrossRefPubMed

53.

Trepman E, Kadel NJ, Chisholm K, Razzano L (1999) Effect of foot and ankle position on tarsal tunnel compartment pressure. Foot Ankle Int 20(11):721–726. https://doi.org/10.1177/107110079902001108 CrossRefPubMed

54.

van Maurik JFM, Schouten ME, ten Katen I, van Hal M, Peters EJ, Kon M (2014) Ultrasound findings after surgical decompression of the tarsal tunnel in patients with painful diabetic polyneuropathy: a prospective randomized study. Diabetes Care 37(3):767–772CrossRef

55.

Watson TS, Anderson RB, Davis WH, Kiebzak GM (2002) Distal tarsal tunnel release with partial plantar fasciotomy for chronic heel pain: an outcome analysis. Foot Ankle Int 23(6):530–537. https://doi.org/10.1177/107110070202300610 CrossRefPubMed

56.

Wieman TJ, Patel VG (1995) Treatment of hyperesthetic neuropathic pain in diabetics. Decompression of the tarsal tunnel. Ann Surg 221(6):660–664 (discussion 664–665) CrossRefPubMedPubMedCentral

Title: Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome—Part II
Authors: Alejandro Fernández-Gibello
Simone Moroni
Gabriel Camuñas
Rubén Montes
Marit Zwierzina
Christoph Tasch
Vasco Starke
José Sañudo
Teresa Vazquez
Marko Konschake
Publication date: 01-01-2019
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy / Issue 1/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-018-2127-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome—Part II

Abstract

Background

Methods and results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods and results

Conclusion

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