Surgical treatment of a tarsal tunnel syndrome
Kaiser R., Haninec P.
Entrapment neuropathies of the lower limbs are rare. We present a series of four patients treated for tibial nerve compression in the tarsal tunnel. The symptoms developed spontaneously in two patients while the other two had a history of ankle injury. Transection of the flexor retinaculum and exoneurolysis of the tibial nerve and its branches was effective in all patients. The tarsal tunnel syndrome should be considered in all patients who develop pain and sensory disturbances in the sole and have a negative finding in the lumbar spine. EMG confirms the finding. Surgical treatment is simple and has good results.