Tarsal Tünelde Anormal Bir İlişki: Olgu Sunumu

Abstract

Tarsal tünel hakkında şimdiye kadar verilen tüm bilgiler hem önemli hem de değişkendir. Bu durumun nedeni tarsal tünelde n. tibialis ve dalları, arteria tibialis posterior, vv. tibiales posteriores ve bazı tendonlar gibi birçok yapının bulunmasıdır. Rutin bir diseksiyon sırasında, bir erkek kadavranın sağ tarafında n. tibialis ile rr. calcanei mediales arasında anormal bir ilişki gözlemlendi. Bu vakamızda, rr. calcanei mediales' nin diğer dalları ile bağlantı kuran bir varyatif durumu gösterip ve bu durumun klinik önemini tartışacağız.

Keywords

• rr. calcanei mediales
• n. tibialis
• tarsal tünel
• r. communicans

An Abnormal Relationship in Tarsal Tunnel: Case Report

Abstract

All the information about the tarsal tunnel so far is both important and variable. The reason for this situation is that there are many structures in the tarsal tunnel, such as tibial nerve and its branches, posterior tibial artery, posterior tibial veins and some tendons. During routine dissection, we found an abnormal relationship between the tibial nerve and medial calcaneal nerve (MCN) on the right side of a male cadaver. In this case, we would show a variant condition that communicates with other branches of rr. calcanei mediales and discuss its clinical significance.

Keywords

• Medial calcaneal nerve
• Tibial nerve
• Tarsal tunnel
• Communicating branch

References

1. 1. Apaydin N. Lumbosacral Plexus. In: Bergman's Comprehensive Encyclopedia of Human Anatomic Variation. 2016:1113-1129.
2. 2. Standring S. Gray's Anatomy- The Anatomical Basis of Clinical Practice. 41th ed: New York Elsevier; 2015.
3. 3. Yang Y, Du ML, Fu YS, et al. Fine dissection of the tarsal tunnel in 60 cases. Sci Rep. 2017;7(1):46351.
4. 4. Dellon AL, Kim J, Spaulding CM. Variations in the origin of the medial calcaneal nerve. J Am Podiatr Med Assoc. 2002;92(2):97-101.
5. 5. Vargas Gallardo F, Álvarez Gómez D, Bastías Soto C, et al. Tarsal tunnel syndrome: Clinical-imaging analysis of a case series. Síndrome del túnel del tarso: análisis clínico-imagenológico de una serie de casos. Rev Esp Cir Ortop Traumatol. 2022;66(1):23-28.
6. 6. Banik S, Sr., Guria LR. Variable Branching Pattern of Tibial Nerve in the Tarsal Tunnel: A Gross Anatomical Study With Clinical Implications. Cureus. 2021;13(3):13729.
7. 7. Inthasan C, Vaseenon T, Mahakkanukrauh P. Anatomical study and branching point of neurovascular structures at the medial side of the ankle. Anat Cell Biol. 2020;53(4):422-434.