Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome-Part II.

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Abstract

The aim of this study is to provide a safe ultrasound-guided minimally invasive surgical approach for a proximal tarsal tunnel release concerning nerve entrapments.

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Can Ultrasound of the Tibial Nerve Detect Diabetic Peripheral Neuropathy?

Sheila Riazi, Vera Bril, Bruce A. Perkins … (2012)

OBJECTIVE Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PTN) and the presence and severity of DSP. RESEARCH DESIGN AND METHODS We performed a cross-sectional study of 98 consecutive diabetic patients classified by NCS as subjects with DSP or control subjects. Severity was determined using the Toronto Clinical Neuropathy Score. A masked expert sonographer measured the cross-sectional area (CSA) of the PTN at 1, 3, and 5 cm proximal to the medial malleolus. RESULTS Fifty-five patients had DSP. The mean CSA of the PTN in DSP compared with control subjects at distances of 1 (23.03 vs. 17.72 mm2; P = 0.004), 3 (22.59 vs. 17.69 mm2; P < 0.0001), and 5 cm (22.05 vs. 17.25 mm2; P = 0.0005) proximal to the medial malleolus was significantly larger. Although the area under the curve (AUC) for CSA measurements at all three anatomical levels was similar, the CSA measured at 3 cm above the medial malleolus had an optimal threshold value for identification of DSP (19.01 mm2) with a sensitivity of 0.69 and a specificity of 0.77 by AUC analysis. CONCLUSIONS This large study of diabetic patients confirms that the CSA of the PTN is larger in patients with DSP than in control subjects, and US is a promising point-of-care screening tool for DSP.

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Ultra-Minimally Invasive Ultrasound-Guided Carpal Tunnel Release

Jose Rojo-Manaute, Alberto Capa-Grasa, Francisco Chana-Rodríguez … (2016)

The purpose of this study was to compare the outcomes of 1-mm ultra-minimally invasive ultrasound-guided carpal tunnel release and 2-cm blind mini-open carpal tunnel release.

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"Mors auxilium vitae"--causes of death of body donors in an Austrian anatomical department.

Marko Konschake, Erich Brenner (2014)

Anatomical dissection is, despite several critical annotations, a highly valuable component of under- and postgraduate medical education and research. Our current causes-of-death statistics on our body donors is aimed to find out to which extent they are representative of the Austrian population.

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Author and article information

Journal

Journal ID (iso-abbrev): Surg Radiol Anat

Title: Surgical and radiologic anatomy : SRA

Publisher: Springer Nature

ISSN (Electronic): 1279-8517

ISSN (Print): 0930-1038

Publication date (Electronic): Jan 2019

Volume: 41

Issue: 1

Affiliations

[1 ] Faculty of Health Sciences, Department of Podiatry, University of La Salle, Clinic Vitruvio Biomecánica, Madrid, Spain.

[2 ] Faculty of Health Sciences at Manresa, Department of Podiatry, Universitat de Vic-Universitat Central de Catalunya (UVic-Ucc), Clinic Vitruvio Biomecánica, Barcelona, Madrid, Spain.

[3 ] Department of Plastic, Reconstructive and Aesthetic Surgery, Center of Operative Medicine, Medical University of Innsbruck, Innsbruck, Austria.

[4 ] Department of Anatomy, Histology and Embryology, Division of Clinical and Functional Anatomy, Medical University of Innsbruck (MUI), Müllerstr. 59, 6020, Innsbruck, Austria.

[5 ] Anatomy and Embryology Department, School of Medicine, Complutense University of Madrid, Madrid, Spain.

[6 ] Department of Anatomy, Histology and Embryology, Division of Clinical and Functional Anatomy, Medical University of Innsbruck (MUI), Müllerstr. 59, 6020, Innsbruck, Austria. marko.konschake@i-med.ac.at.

Article

Publisher Item ID: 10.1007/s00276-018-2127-9

DOI: 10.1007/s00276-018-2127-9

PubMed ID: 30382330

SO-VID: c677c23b-03c9-4a76-858d-0e5d6b2b79ce

History

Keywords: Heel pain syndrome,Minimally invasive foot and ankle surgery,Nerve entrapment,Tarsal tunnel syndrome,Ultrasound,Ultrasound-guided

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Keywords: Heel pain syndrome, Minimally invasive foot and ankle surgery, Nerve entrapment, Tarsal tunnel syndrome, Ultrasound, Ultrasound-guided

Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome-Part II.

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Advocacy for Maternal and Women’s Health

Most cited references 47

Can Ultrasound of the Tibial Nerve Detect Diabetic Peripheral Neuropathy?

Ultra-Minimally Invasive Ultrasound-Guided Carpal Tunnel Release

"Mors auxilium vitae"--causes of death of body donors in an Austrian anatomical department.

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