Title: The tarsal tunnel-syndrome - nerve compression syndrome in the foot
Authors: Wolf, K ×
Posel, P
Heimkes, B
Hierner, Robert
Schweiberer, L #
Issue Date: Jun-1991
Publisher: Springer verlag
Series Title: Unfallchirurg vol:94 issue:6 pages:291-294
Abstract: Pathological changes in sensation over the sole of the foot do not always correspond to the full area of distribution of the posterior tibial nerve. Some neurologists advise separate examination of the tibial nerve, the medial and lateral plantar nerves, in order to ascertain whether either or both might be affected. 60 praparations of cadaveric feet in the Department of Anatomy were examined. Using a measuring grid, the position and size of the nerves in the tarsal tunnel were assessed and the facial band which define and divide the osteofibrous canal delineated. The corners of the measuring grid were the tip of the medial malleolus (A), the tip of the calcaneal tubercle at its greatest distance from the medial malleolus (B) and the tuberosity of the navicular bone (C). These points can also be clearly identified clinically. They define a triangele whose sides A - B and B - C are of constant equal length and whose base A - C varies little. The operative approach includes a T-sphaped incision of the retinaculum. The vertical line of the T lies underneath the skin incision. The horizontal line corresponds with the upper border of the abductor hallucis muscle. The upper border of the abductor hallucis is defined and the muscle retracted medially to expose the deep fascia. This layer is removed together with the connective tissue bridge which stretches between the fascia and the calcaneus. The plantar nerves are discovered and run to the sole of the foot without further obstruction.
ISSN: 0177-5537
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Plastic, Reconstructive and Estetic Surgery Section (-)
× corresponding author
# (joint) last author

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