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Open Access 01-03-2019 | Ultrasound | Original Article

Ultrasound-guided decompression surgery of the distal tarsal tunnel: a novel technique for the distal tarsal tunnel syndrome—part III

Authors: Simone Moroni, Alejandro Fernández Gibello, Marit Zwierzina, Gabriel Camunas Nieves, Rubén Montes, José Sañudo, Teresa Vazquez, Marko Konschake

Published in: Surgical and Radiologic Anatomy | Issue 3/2019

Abstract

Background

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

Methods and results

The study was carried out on ten fresh-frozen feet. All of them have been examined by high-resolution ultrasound at the distal tarsal tunnel. The surgical approach has been marked throughout the course of the medial intermuscular septum (MIS, the lateral fascia of the abductor hallucis muscle). After the previous steps, nerve decompression was carried out through a MIS release through a 2.5 mm (± 0.5 mm) surgical portal. As a result, an effective release of the MIS has been obtained in all fresh-frozen feet.

Conclusion

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

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Title: Ultrasound-guided decompression surgery of the distal tarsal tunnel: a novel technique for the distal tarsal tunnel syndrome—part III
Authors: Simone Moroni
Alejandro Fernández Gibello
Marit Zwierzina
Gabriel Camunas Nieves
Rubén Montes
José Sañudo
Teresa Vazquez
Marko Konschake
Publication date: 01-03-2019
Publisher: Springer Paris
Keywords: Ultrasound
Ultrasound
Plantar Fasciitis
Published in: Surgical and Radiologic Anatomy / Issue 3/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-019-02196-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound-guided decompression surgery of the distal tarsal tunnel: a novel technique for the distal tarsal tunnel syndrome—part III

Abstract

Background

Methods and results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods and results

Conclusion

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