Anterior tarsal tunnel syndrome

Fig. 48. Anterior tarsal tunnel syndrome. A and B Sensory loss in a case of anterior tarsal tunnel syndrome, atrophy of extensor digitorum brevis muscle. C Atrophy of the the extensor digitorum brevis muscle. D Opposite foot with a normal muscle

Anterior Tarsal Tunnel Syndrome

Symptoms

Signs

Therapy

Electrophysiology

Differential diagnosis References

Terminal branch of the deep peroneal nerve. Passes under the pars cruciforme vaginae fibrosae.

Pain at the dorsum of the foot. Sensory loss over the first interosseus space.

Atrophy of the extensor digitorum brevis muscle (Fig. 48). Tinel's is sign positive.

Splint, comfortable foot position, orthosis, local steroids, surgery.

NCV EMG

Local arthritis, osseous changes.

Borges LF, Hallet M, Selkoe DJ (1981) The anterior tarsal tunnel syndrome; report of two cases. J Neurosurgery 54: 89

Dawson DM, Hallet M, Millender LH (1990) Tarsal tunnel syndrome. In: Dawson DM (ed) Entrapment neuropathies. Little Brown, Boston, pp 291-299

Kanbe K, Kubota H, Shirakura K, et al (1995) Entrapment neuropathy of the deep branch of the peroneal nerve associated with the extensor hallucis brevis muscle. J Foot and Ankle Surgery 34: 560-562

Kohno M, Takahashi H, Segawa H, Sano K (2000) Neurovascular decompression for idiopathic tarsal tunnel syndrome: technical note. J Neurol Neurosurg Psychiatry 69: 8790

Staal A, van Gijn J, Spaans F (2000) The tibial nerve. In: Staal A, van Gijn J, Spaans F (eds) Mononeuropathies: examination, diagnosis and treatment. Saunders, London, pp 125-132 Yamamoto T, Mizuno K (2001) Tarsal tunnel syndrome caused by synovial sarcoma. J Neurol 248: 433-434

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