Bilateral Tarsal Tunnel Syndrome Due To Bilateral Lipoma: A Case Report

Abstract

Tarsal tunnel syndrome is an entrapment neuropathy of posterior tibial nerve under the flexorretinaculum. Patients generally present with paresthesias on the plantar side of foot and fingersand in the distal kruris.The causes of tarsal tunnel syndrome are space occupying lesions within or around the tunnelwhich exert pressure to the nerve, ankle deformities, systemic illnesses, trauma or lesions ofthe nerve itself.In this study a case of tarsal tunnel syndrome due to bilateral lipoma which was treated surgicallyis presented

Keywords

• Tarsal tunnel syndrome,posterior tibial nerve,nerve entrapment

Bilateral Lipomaya Bağlı Bilateral Tarsal Tünel Sendromu: Olgu Sunumu

Abstract

Tarsal tünel sendromu posterior tibial sinir ve dallarının fleksör retinaculum altında sıkışmanöropatisidir. Ayağın plantar yüzünde, parmaklarda, baldır distalinde parestezik şikayetlermeydana gelir. Tarsal tünel sendromuna yol açan nedenler arasında genellikle tünel içinde veya dışında sinirebası yapan yer kaplayan lezyonlar, ayak bileği deformiteleri, sistemik hastalıklar, travma veyasinirin kendisine ait sorunlar gelmektedir.Bu çalışmada bilateral lipomaya bağlı bilateral tarsal tünel sendromu olgusu sunulmuştur

Keywords

• tarsal tünel sendromu,posterior tibial sinir,sinir sıkışması

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. 17, 283-285, 2007.
2. Alshami AM, Souvlis T, Coppieters MW: A review of plantar heel pain of neural origin: differential diagnosis and management. Manual Therapy. 13, 103–111, 2008.
3. Chen WS: Lipoma responsible for tarsal tunnel syndrome. apropos of 2 cases. Rev Chir Orthop Reparatrice Appar Mot. 78:251–254, 1992.
4. Low HL: These boots weren’t made for walking: tarsal tunnel syndrome. CMAJ. 176: 1415–1416, 2007.
5. Jaffe KA, Wade JD, Chivers FS, Siegal GP: Extraskeletal osteosarcoma: an unusual presentation as tarsal tunnel syndrome. Foot Ankle Int. 16:796-799, 1995.
6. Mangrulkar VH, Brunetti VA, Gould ES, Howell N: Unusually large pedal schwannoma. J Foot Ankle Surg. 46:398–402, 2007.
7. Tedder JL, Insler HP, Antoine R: Tarsal tunnel syndrome secondary to neurilemmoma. Orthop Rev. 21:613-614, 1992.
8. Fujita I, Matsumoto K, Minami T, Kizaki T, Akisue T, Yamamoto T: Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature. J Foot Ankle Surg. 43:185-190, 2004.

9. Dellon AL: Management of peripheral nerve problems in the upper and lower extremity using quantitative sensory testing. Hand Clinics. 15:697–715, 1999.
10. 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 32: 236–240, 2005.
11. Türker H, Ömeroğlu M, Us Ö, Akyüz G: Tarsal tünel sendromlu olgularda klinik ve elektrofizyolojik bulgular. Türk Nöroloji Dergisi. 10:206-214, 2004.
12. Govsa F, Bilge O, Ozer MA: Variations in the origin of the medial and inferior calcaneal nerves. Arch Orthop Trauma Surg. 126: 6–14, 2006.
13. Mullick T, Dellon AL: Results of decompression of four medial ankle tunnels in the treatment of tarsal tunnels syndrome. J Reconstr Microsurg. 24: 119- 126, 2008.
14. Myerson M, Soffer S: Lipoma as an etiology of tarsal tunnel syndrome: a report of two cases. Foot Ankle. 10:176-179, 1989.