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Tarsal Tunnel Syndrome Induced by a Ganglionic Mass: A Case Report  

Seul, Chul Hwan (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine)
Nam, Sang Hyun (Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine)
Chung, Yoon Kyu (Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine)
Publication Information
Archives of Plastic Surgery / v.33, no.5, 2006 , pp. 648-651 More about this Journal
Abstract
Purpose: Tarsal tunnel syndrome is characterized by pain and paresthesia of the entire posterior tibial nerve and its branches of the lower extremity. The cause of the tarsal tunnel syndrome is usually unknown but, rare case of space occupying benign tumors such as a ganglion may be one of the causes. We report our experiences of surgical treatment of the tarsal tunnel syndrome caused by ganglion we have encountered recently. Methods: A 54-year-old male patient presented with paresthesia, burning pain, positive Tinnel's sign without preceeding trauma, infection or any other causes of event. With surgical intervention, we completely removed the space occupying ganglion and with performed surgical release of the posterior tibial nerve and its branches. Results: At a 14-month follow up examination, the symptoms of paresthesia, burning pain, sensory disturbance was much improved compared to the preoperative conditions. Takakura's rating scale was elevated from 4(Poor) to 8(Good). Conclusion: We report our surgical experience of a rare case of tarsal tunnel syndrome caused by a ganglion, with a review of literature.
Keywords
Tarsal tunnel syndrome; Posterior tibial nerve; Ganglion.;
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