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BILATERAL TARSAL TUNNEL SYNDROME; OCCURED IN LOWER EXTREMITY SPASTISITY, A CASE REPORT

Year 2014, Issue: 2, 164 - 166, 01.06.2014

Can Yaldız Tibet Kacira Davut Ceylan Yeşim Aras

Abstract

Tarsal tunnel is one of the anatomical formations in the ankle. Posterior tibial nerve entrapment in the canal, that is formed by this tunnel, causes tarsal tunnel syndrome. The most common reasons of entrapment are bone and junction deformities, trauma, space occupying lesions and systemic diseases. The primary treatment for this entrapment syndrome is conservative methods, but those who are not irresponsive to those treatments request surgical tretments. Tarsal tunnel syndrome is commonly unilateral and mostly seen in women. In this case, we present a bilateral tarsal tunnel syndrome occured because of a lower extremites spasticity, which is uncommon.

Keywords

tarsal tunnel syndrome entrapment extremity spastisity

References

  • 1. Özdemir Ö, Çalışaneller T, Sönmez E, Altınörs N. Tarsal tunnel syndrome in a patient on long-term peritoneal dialysis: case report. Turkish Neurosurgery 2007;17:283-285.
  • 2. Ward PJ, Porter ML. Tarsal tunnel syndrome: a study of the clinical and neurophysiological results of decompression. R Coll Surg. Edinb. 1998;43:35-36.
  • 3. Kıbıcı K, Demircan MN, Akın ON. Tarsal Tünel Sendromu ile birlikte olan Morton Nöroma: Olgu Sunumu. Türk Nöroşirürji dergisi 2006; 16(1): 67-71.
  • 4. Özdemir Ö, Çalışaneller T, Sönmez E, Altınörs N. Uzun Süreli Periton Diyalizi Alan Hastada Tarsal Tünel Sendromu: Vaka Sunumu. Turkish Neurosurgery 2007; 17( 4): 283-285.
  • 5. Çetinkal A, Topuz K, Kaya S, Çolak A, Demircan MN. Anterior Tarsal Tunnel Syndrome Secondary To Missed Talus Fracture: A Case Report. Turkish Neurosurgery 22011; 21(2): 259-263.
  • 6. Joseph OC, Uryasev O, McNamara JP, Dallas AP. Tibial nerve perineural injections at the posterior tarsal tunnel. Journal of Musculoskeletal Research 2013;16(3):1350014
  • 7. Alshami AM, Souvlis T, Coppieters MW. A review of plantar heel pain of neural origin: differential diagnosis and management. Manual Therapy 2008;13: 103–111.
  • 8. John TC, Lau MD. Tarsal Tunnel Syndrome : A review of the literature. Foot Ankle Int 1999;20(3):201-9.
  • 9. Bejjanki NK, Moulder E, Al-Nammari S, Budgen A. Tarsal tunnel syndrome as a complication of total ankle athroplasty : A case report. Foot Ankle Int 2008;29(3):347-50.
  • 10. Low HL, Stephenson G. These boots weren’t made for walking : tarsal tunnel syndrome. Canadian Medical association Journal 2007; 8(10) :1415. 11. Çeliker R. Alt Ekstremitelerde Tuzak Nöropatiler. Türk Fiz. Tıp Rehab Derg 2009; 55(1): 30-4.
  • 12. Grumbine NA, Radovic PA, Parsons R, Scheinin GS. Tarsal Tunnel syndrome: Comprehensive review of 87 cases . J Am Podiatr Med Assoc 1990;80(9):457-61.
  • 13. Bilge O, Özer MA, Govsa F. Neurovascular branching in tarsal tunnel : Neuroanatomy 2003; 2: 39-41.
  • 14. Watson BV, Algahtani H, Broome RJ, Brown JD. An unusual presentation of Tarsal Tunnel Syndrome caused by an inflatable ice hockey skate. Can J Neurol Sci 2002; 29: 386-389.
  • 15. Takakura Y, Kumai T, Takaoka T, Tamai S. Tarsal Tunnel Syndrome caused by coalition associated with a ganglion. J Bone Joint Surg (Br) 1998 ;80: 130-3.
  • 16. Nagaoka M, Satou K. Tarsal tunnel syndrome caused by ganglia. J Bone Joint Surg [Br] 1999;81:607-10.
  • 17. Cansü CE, Yücel İ, Özturan K. Bilateral Lipomaya Bağlı Bilateral Tarsal Tünel Sendromu: Olgu Sunumu. Düzce Tıp Dergisi 2010; 12(3): 65-67.
  • 18. Dellon AL. Management of peripheral nerve problems in the upper and lower extremity using quantitative sensory testing. Hand Clinics 1999;15:697–715.
  • 19. Patel AT, Gaines K, Malamut R, Park TA, Del Toro DR, Holland N. Usefulness of electrodiagnostic techniques in the evaluation of suspected tarsal tunnel syndrome: an evidence based review. Muscle Nerve 2005;32: 236–240.
  • 20. Linsheid RL, Burton RC, Fredericks EJ. Tarsal tunnel syndrome. South Med j 1970;63:1313–23.
  • 21. Govsa F, Bilge O, Ozer MA. Variations in the origin of the medial and inferior calcaneal nerves. Arch Orthop Trauma Surg 2006;126: 6–14.
  • 22. Mullick T, Dellon AL. Results of decompression of four medial ankle tunnels in the treatment of tarsal tunnels syndrome. J Reconstr Microsurg 2008;24: 119- 126.
  • 23. Mann RA, Baxter DE. Diseases of the nerve. In: Mann, R.A., and Coughlin, J.C. (eds.), Surgery of the Foot and Ankle, Ed. 6, Vol. 1. St. Louis, Mosby-Year Book, 1993, pp. 554-558.
  • 22. Edwards WG, Lincoln CR, Bassett FH, Goldner JL. JAMA 1969; 207(4): 716–720
  • 24. Bailie DS, Kelitian AS. The tarsal tunnel syndrome: surgical technique and functional outcome. Foot Ankle Int 1998; 19:65–71.
  • 25. Gondring WH, Shields B, Wenger S. An Outcomes Analysis of Surgical Treatment of Tarsal Tunnel Syndrome. Foot & Ankle international 2003;24(5): 545-50.

Alt ekstremite Spasitesine Bağlı Bilateral Tarsal Tünel Sendromu: Olgu Sunumu

Year 2014, Issue: 2, 164 - 166, 01.06.2014

Can Yaldız Tibet Kacira Davut Ceylan Yeşim Aras

Abstract

Tarsal tünel, ayak bileğinde var olan anatomik oluşumlardan birisidir. Bu tünelin oluşturduğu kanal içerisinde, her hangi bir sebeple posterior tibial sinirin sıkışması sonucu tarsal tünel sendromu oluşur. Kanal içinde sıkışmaya neden olan etkenlerin en sık sebepleri arasında; kemik ve eklem deformiteleri, travma, yer kaplayan lezyonlar ve sistemik hastalıklar gözlemlenmektedir. Sendromun primer tedavisi konservatif yaklaşımlar olup, bu tedavilere yanıt vermeyen olgularda cerrahi tedavi uygulanmaktadır. Tarsal tünel sendromu çoğunlukla kadın popülasyonunda sıktır ve genellikle tek taraflıdır. Bu olgu sunumunda, alt ekstremite spastisitesi nedeni ile oluşan ve literatürde çok nadir olarak bildirilen, bilateral gelişen tarsal tunel sendromlu hasta sunulmaktadır.

Keywords

tarsal tunel sendromu tuzak nöropati ekstremite spasitesi

References

  • 1. Özdemir Ö, Çalışaneller T, Sönmez E, Altınörs N. Tarsal tunnel syndrome in a patient on long-term peritoneal dialysis: case report. Turkish Neurosurgery 2007;17:283-285.
  • 2. Ward PJ, Porter ML. Tarsal tunnel syndrome: a study of the clinical and neurophysiological results of decompression. R Coll Surg. Edinb. 1998;43:35-36.
  • 3. Kıbıcı K, Demircan MN, Akın ON. Tarsal Tünel Sendromu ile birlikte olan Morton Nöroma: Olgu Sunumu. Türk Nöroşirürji dergisi 2006; 16(1): 67-71.
  • 4. Özdemir Ö, Çalışaneller T, Sönmez E, Altınörs N. Uzun Süreli Periton Diyalizi Alan Hastada Tarsal Tünel Sendromu: Vaka Sunumu. Turkish Neurosurgery 2007; 17( 4): 283-285.
  • 5. Çetinkal A, Topuz K, Kaya S, Çolak A, Demircan MN. Anterior Tarsal Tunnel Syndrome Secondary To Missed Talus Fracture: A Case Report. Turkish Neurosurgery 22011; 21(2): 259-263.
  • 6. Joseph OC, Uryasev O, McNamara JP, Dallas AP. Tibial nerve perineural injections at the posterior tarsal tunnel. Journal of Musculoskeletal Research 2013;16(3):1350014
  • 7. Alshami AM, Souvlis T, Coppieters MW. A review of plantar heel pain of neural origin: differential diagnosis and management. Manual Therapy 2008;13: 103–111.
  • 8. John TC, Lau MD. Tarsal Tunnel Syndrome : A review of the literature. Foot Ankle Int 1999;20(3):201-9.
  • 9. Bejjanki NK, Moulder E, Al-Nammari S, Budgen A. Tarsal tunnel syndrome as a complication of total ankle athroplasty : A case report. Foot Ankle Int 2008;29(3):347-50.
  • 10. Low HL, Stephenson G. These boots weren’t made for walking : tarsal tunnel syndrome. Canadian Medical association Journal 2007; 8(10) :1415. 11. Çeliker R. Alt Ekstremitelerde Tuzak Nöropatiler. Türk Fiz. Tıp Rehab Derg 2009; 55(1): 30-4.
  • 12. Grumbine NA, Radovic PA, Parsons R, Scheinin GS. Tarsal Tunnel syndrome: Comprehensive review of 87 cases . J Am Podiatr Med Assoc 1990;80(9):457-61.
  • 13. Bilge O, Özer MA, Govsa F. Neurovascular branching in tarsal tunnel : Neuroanatomy 2003; 2: 39-41.
  • 14. Watson BV, Algahtani H, Broome RJ, Brown JD. An unusual presentation of Tarsal Tunnel Syndrome caused by an inflatable ice hockey skate. Can J Neurol Sci 2002; 29: 386-389.
  • 15. Takakura Y, Kumai T, Takaoka T, Tamai S. Tarsal Tunnel Syndrome caused by coalition associated with a ganglion. J Bone Joint Surg (Br) 1998 ;80: 130-3.
  • 16. Nagaoka M, Satou K. Tarsal tunnel syndrome caused by ganglia. J Bone Joint Surg [Br] 1999;81:607-10.
  • 17. Cansü CE, Yücel İ, Özturan K. Bilateral Lipomaya Bağlı Bilateral Tarsal Tünel Sendromu: Olgu Sunumu. Düzce Tıp Dergisi 2010; 12(3): 65-67.
  • 18. Dellon AL. Management of peripheral nerve problems in the upper and lower extremity using quantitative sensory testing. Hand Clinics 1999;15:697–715.
  • 19. Patel AT, Gaines K, Malamut R, Park TA, Del Toro DR, Holland N. Usefulness of electrodiagnostic techniques in the evaluation of suspected tarsal tunnel syndrome: an evidence based review. Muscle Nerve 2005;32: 236–240.
  • 20. Linsheid RL, Burton RC, Fredericks EJ. Tarsal tunnel syndrome. South Med j 1970;63:1313–23.
  • 21. Govsa F, Bilge O, Ozer MA. Variations in the origin of the medial and inferior calcaneal nerves. Arch Orthop Trauma Surg 2006;126: 6–14.
  • 22. Mullick T, Dellon AL. Results of decompression of four medial ankle tunnels in the treatment of tarsal tunnels syndrome. J Reconstr Microsurg 2008;24: 119- 126.
  • 23. Mann RA, Baxter DE. Diseases of the nerve. In: Mann, R.A., and Coughlin, J.C. (eds.), Surgery of the Foot and Ankle, Ed. 6, Vol. 1. St. Louis, Mosby-Year Book, 1993, pp. 554-558.
  • 22. Edwards WG, Lincoln CR, Bassett FH, Goldner JL. JAMA 1969; 207(4): 716–720
  • 24. Bailie DS, Kelitian AS. The tarsal tunnel syndrome: surgical technique and functional outcome. Foot Ankle Int 1998; 19:65–71.
  • 25. Gondring WH, Shields B, Wenger S. An Outcomes Analysis of Surgical Treatment of Tarsal Tunnel Syndrome. Foot & Ankle international 2003;24(5): 545-50.
There are 25 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Can Yaldız

Tibet Kacira

Davut Ceylan

Yeşim Aras

Publication Date June 1, 2014
Published in Issue Year 2014Issue: 2

Cite

EndNote Yaldız C, Kacira T, Ceylan D, Aras Y (June 1, 2014) Alt ekstremite Spasitesine Bağlı Bilateral Tarsal Tünel Sendromu: Olgu Sunumu. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 164–166.