Anterior Tarsal Tunnel Syndrome: Entrapment of the Articular Branch of Deep Peroneal Nerve

Author:

Moonot Pradeep1,Karwande Nikhil2ORCID,Dakhode Shubham1ORCID,Thorat Tushar3

Affiliation:

1. Mumbai Knee Foot Ankle Clinic, Mumbai, India

2. Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal Hospital, Mumbai, India

3. Sir H. N. Reliance Foundation Hospital, Mumbai, India

Abstract

Case: A 28-year-old male patient who injured his ankle 2 years ago presented with unilateral ankle pain, tingling, and numbness for 1 year. Clinically, tenderness and positive Tinel sign were localized on anterior aspect of ankle. On exploration, deep peroneal nerve and mainly its articular branch were encased in fibrotic tissue. Decompression of both nerves resulted in symptomatic relief after surgery. Conclusion: High index of suspicion, a thorough medical history, meticulous clinical examination, complete knowledge of nerve anatomy, proper radiological studies, and careful surgical decompression are all necessary for the diagnosis and management of such atypical cases.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

Reference14 articles.

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2. Peripheral entrapment neuropathies of the lower extremity;Kopell;N Engl J Med.,1960

3. Neurological syndromes of the tarsal tunnels;Marinacci;Bull Los Angeles Neurol Soc.,1968

4. Anterior tarsal tunnel syndrome: a misunderstood and a misleading entrapment neuropathy;Logullo;Neurol Sci.,2014

5. Lower extremity nerve entrapments in athletes;Meadows;Curr Sports Med Rep.,2014

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