When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome
Compression of the tibial nerve can occur at any point along its path through the lower extremity, including the soleal sling. Soleal sling syndrome and tarsal tunnel syndrome exhibit similar symptoms, namely foot paresthesias or numbness. A review of current literature found that soleal sling syndr...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-01-01
|
| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396723000897 |
| _version_ | 1797267613569515520 |
|---|---|
| author | Amelia Maguire, DPM Victoria Garcia, PhD, MPH Ellianne Nasser, DPM, CWS, FACFAS |
| author_facet | Amelia Maguire, DPM Victoria Garcia, PhD, MPH Ellianne Nasser, DPM, CWS, FACFAS |
| author_sort | Amelia Maguire, DPM |
| collection | DOAJ |
| description | Compression of the tibial nerve can occur at any point along its path through the lower extremity, including the soleal sling. Soleal sling syndrome and tarsal tunnel syndrome exhibit similar symptoms, namely foot paresthesias or numbness. A review of current literature found that soleal sling syndrome is rarely reported, and only neurolysis techniques are discussed as treatment. The purpose of this case study is to review the correction of proximal and distal tibial nerve compression using concomitant soleal sling and tarsal tunnel decompressions. A 55-year-old male experiencing left foot numbness and paresthesias for one year was evaluated over five visits between February and July 2022. Geisinger podiatrists determined the patient had a positive Tinel sign to the tibial nerve at the tarsal tunnel level and paresthesia upon palpation at the soleal sling level radiating to his toes. Surgical release of the soleal sling, concomitant with a traditional tarsal tunnel release, successfully treated tibial nerve compression, such that the patient has reported symptom improvement 12 months post-operatively. This case study shows that utilizing proximal and distal tarsal tunnel decompressions together, when appropriate, can resolve persistent symptoms. |
| first_indexed | 2024-03-08T21:11:31Z |
| format | Article |
| id | doaj.art-81ef5a0ca13b442ebbc4acff8be427f6 |
| institution | Directory Open Access Journal |
| issn | 2667-3967 |
| language | English |
| last_indexed | 2024-04-25T01:19:22Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj.art-81ef5a0ca13b442ebbc4acff8be427f62024-03-09T09:29:45ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672024-01-0141100351When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndromeAmelia Maguire, DPM0Victoria Garcia, PhD, MPH1Ellianne Nasser, DPM, CWS, FACFAS2Geisinger Community Medical Center, 1800 Mulberry Street, Scranton, PA 18510, USA; Corresponding author.Geisinger Medical Center, 100 North Academy Avenuem, Danville, PA 17822, USAGeisinger Community Medical Center, 1800 Mulberry Street, Scranton, PA 18510, USACompression of the tibial nerve can occur at any point along its path through the lower extremity, including the soleal sling. Soleal sling syndrome and tarsal tunnel syndrome exhibit similar symptoms, namely foot paresthesias or numbness. A review of current literature found that soleal sling syndrome is rarely reported, and only neurolysis techniques are discussed as treatment. The purpose of this case study is to review the correction of proximal and distal tibial nerve compression using concomitant soleal sling and tarsal tunnel decompressions. A 55-year-old male experiencing left foot numbness and paresthesias for one year was evaluated over five visits between February and July 2022. Geisinger podiatrists determined the patient had a positive Tinel sign to the tibial nerve at the tarsal tunnel level and paresthesia upon palpation at the soleal sling level radiating to his toes. Surgical release of the soleal sling, concomitant with a traditional tarsal tunnel release, successfully treated tibial nerve compression, such that the patient has reported symptom improvement 12 months post-operatively. This case study shows that utilizing proximal and distal tarsal tunnel decompressions together, when appropriate, can resolve persistent symptoms.http://www.sciencedirect.com/science/article/pii/S2667396723000897IV |
| spellingShingle | Amelia Maguire, DPM Victoria Garcia, PhD, MPH Ellianne Nasser, DPM, CWS, FACFAS When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome Foot & Ankle Surgery: Techniques, Reports & Cases IV |
| title | When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome |
| title_full | When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome |
| title_fullStr | When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome |
| title_full_unstemmed | When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome |
| title_short | When lightning strikes twice: Tarsal tunnel syndrome in the presence of soleal sling syndrome |
| title_sort | when lightning strikes twice tarsal tunnel syndrome in the presence of soleal sling syndrome |
| topic | IV |
| url | http://www.sciencedirect.com/science/article/pii/S2667396723000897 |
| work_keys_str_mv | AT ameliamaguiredpm whenlightningstrikestwicetarsaltunnelsyndromeinthepresenceofsolealslingsyndrome AT victoriagarciaphdmph whenlightningstrikestwicetarsaltunnelsyndromeinthepresenceofsolealslingsyndrome AT elliannenasserdpmcwsfacfas whenlightningstrikestwicetarsaltunnelsyndromeinthepresenceofsolealslingsyndrome |