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

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background

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.

Methods and results

The study was carried out on ten fresh-frozen feet. All of them were examined by high resolution ultrasound at the medial ankle region. The surgical approach was marked throughout the course of the flexor retinaculum (laciniate ligament). Once the previous steps were done, the flexor retinaculum release technique was carried out with a 2-mm entry only. As a result, an effective and safe release of the flexor retinaculum was obtained in all fresh-frozen feet.

Conclusion

The results of our anatomic study indicate that our novel ultrasound-guided minimally invasive surgical approach for the release of the flexor retinaculum might be an effective, safe and quick decompression technique treating selected patients with a proximal tarsal tunnel syndrome.

Related collections

Most cited references 47

Record: found
Abstract: found
Article: found

Is Open Access

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.

0 comments Cited 36 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

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.

0 comments Cited 26 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

"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.

0 comments Cited 23 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Marko Konschake:

ORCID: http://orcid.org/0000-0002-9706-7396

+43-512-9003-71130 , marko.konschake@i-med.ac.at

Journal

Journal ID (nlm-ta): Surg Radiol Anat

Journal ID (iso-abbrev): Surg Radiol Anat

Title: Surgical and Radiologic Anatomy

Publisher: Springer Paris (Paris )

ISSN (Print): 0930-1038

ISSN (Electronic): 1279-8517

Publication date (Electronic): 31 October 2018

Publication date PMC-release: 31 October 2018

Publication date (Print): 2019

Volume: 41

Issue: 1

Pages: 43-51

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 ]ISNI 0000 0000 8853 2677, GRID grid.5361.1, Department of Plastic, Reconstructive and Aesthetic Surgery, Center of Operative Medicine, , Medical University of Innsbruck, ; Innsbruck, Austria

[4 ]ISNI 0000 0000 8853 2677, GRID grid.5361.1, Department of Anatomy, Histology and Embryology, Division of Clinical and Functional Anatomy, , Medical University of Innsbruck (MUI), ; Müllerstr. 59, 6020 Innsbruck, Austria

[5 ]ISNI 0000 0001 2157 7667, GRID grid.4795.f, Anatomy and Embryology Department, School of Medicine, , Complutense University of Madrid, ; Madrid, Spain

Author information

Marko Konschake http://orcid.org/0000-0002-9706-7396

Article

Publisher ID: 2127

DOI: 10.1007/s00276-018-2127-9

PMC ID: 6513797

PubMed ID: 30382330

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

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

History

Date received : 26 September 2018

Date accepted : 24 October 2018

Custom metadata

ScienceOpen disciplines: Surgery

Keywords: tarsal tunnel syndrome,heel pain syndrome,ultrasound,minimally invasive foot and ankle surgery,ultrasound-guided,nerve entrapment

Data availability:

ScienceOpen disciplines: Surgery

Keywords: tarsal tunnel syndrome, heel pain syndrome, ultrasound, minimally invasive foot and ankle surgery, ultrasound-guided, nerve entrapment

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

Read this article at

Abstract

Background

Methods and results

Conclusion

Related collections

SICOT-J (Orthopedic surgery and traumatology)

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.

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 272

Cited by 9

Most referenced authors 384