Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months
Abstract Background This study aims to analyse the clinical results of ultrasound-guided surgery for the decompression of the tibial nerve, including its distal medial and lateral branches, to treat tarsal tunnel syndrome. These structures are the complete flexor retinaculum and the deep fascia of t...
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-020-1559-1 |
| _version_ | 1811280037786157056 |
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| author | A. Iborra M. Villanueva P. Sanz-Ruiz |
| author_facet | A. Iborra M. Villanueva P. Sanz-Ruiz |
| author_sort | A. Iborra |
| collection | DOAJ |
| description | Abstract Background This study aims to analyse the clinical results of ultrasound-guided surgery for the decompression of the tibial nerve, including its distal medial and lateral branches, to treat tarsal tunnel syndrome. These structures are the complete flexor retinaculum and the deep fascia of the abductor hallucis muscle, including individualised release of the medial and lateral plantar nerve tunnels. Method This is a retrospective review of 81 patients (36 men and 45 women) with an average age of 41 years old (32–62) and an average clinical course of 31 months (8–96) compatible with idiopathic tarsal tunnel syndrome, who underwent ultrasound-guided decompression of the proximal and distal tarsal tunnel between February 2015 and November 2017 (both months included), with a minimum follow-up of 18 months. Results Based on the Takakura et al. scale for the 81 patients, 76.54% obtained excellent results, 13.58% good results, and 9.87% poor results. The patients with the longest course of symptoms displayed the worst results. Conclusion Although 9% of patients did not improve, ultrasound-guided tarsal tunnel release might be a viable alternative to conventional open approaches. |
| first_indexed | 2024-04-13T01:06:23Z |
| format | Article |
| id | doaj.art-3ff76ad6254d4db293a0cdb60b59eb0f |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T01:06:23Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-3ff76ad6254d4db293a0cdb60b59eb0f2022-12-22T03:09:18ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-01-011511610.1186/s13018-020-1559-1Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 monthsA. Iborra0M. Villanueva1P. Sanz-Ruiz2Department of Podiatry, Faculty of Health Sciences, University of La Salle, Institute AvanfiInstitute AvanfiInstitute AvanfiAbstract Background This study aims to analyse the clinical results of ultrasound-guided surgery for the decompression of the tibial nerve, including its distal medial and lateral branches, to treat tarsal tunnel syndrome. These structures are the complete flexor retinaculum and the deep fascia of the abductor hallucis muscle, including individualised release of the medial and lateral plantar nerve tunnels. Method This is a retrospective review of 81 patients (36 men and 45 women) with an average age of 41 years old (32–62) and an average clinical course of 31 months (8–96) compatible with idiopathic tarsal tunnel syndrome, who underwent ultrasound-guided decompression of the proximal and distal tarsal tunnel between February 2015 and November 2017 (both months included), with a minimum follow-up of 18 months. Results Based on the Takakura et al. scale for the 81 patients, 76.54% obtained excellent results, 13.58% good results, and 9.87% poor results. The patients with the longest course of symptoms displayed the worst results. Conclusion Although 9% of patients did not improve, ultrasound-guided tarsal tunnel release might be a viable alternative to conventional open approaches.https://doi.org/10.1186/s13018-020-1559-1Tarsal tunnel syndromeHeel pain syndromeUltrasound-guided surgeryTibial nerveMedial plantar nerveLateral plantar nerve |
| spellingShingle | A. Iborra M. Villanueva P. Sanz-Ruiz Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months Journal of Orthopaedic Surgery and Research Tarsal tunnel syndrome Heel pain syndrome Ultrasound-guided surgery Tibial nerve Medial plantar nerve Lateral plantar nerve |
| title | Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months |
| title_full | Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months |
| title_fullStr | Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months |
| title_full_unstemmed | Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months |
| title_short | Results of ultrasound-guided release of tarsal tunnel syndrome: a review of 81 cases with a minimum follow-up of 18 months |
| title_sort | results of ultrasound guided release of tarsal tunnel syndrome a review of 81 cases with a minimum follow up of 18 months |
| topic | Tarsal tunnel syndrome Heel pain syndrome Ultrasound-guided surgery Tibial nerve Medial plantar nerve Lateral plantar nerve |
| url | https://doi.org/10.1186/s13018-020-1559-1 |
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