Tarsal Tunnel Syndrome Associated with a Pulsating Artery

Author:

Kim Eunkuk1,Childers Martin K.2

Affiliation:

1. Korea Olympic Committee, Department of Sports Medicine & Science, Taereung National Training Center, Nowon-gu, Seoul, Republic of Korea.

2. Department of Neurology, Wake Forest University Baptist Medical Center, Winston-Salem, NC.

Abstract

We describe a patient with tarsal tunnel syndrome in whom ultrasound imaging revealed compression of the posterior tibial nerve by a pulsating artery. High-resolution ultrasound showed a round pulsating hypoechoic lesion in contact with the posterior tibial nerve. Ultrasound-guided injection of 0.5% lidocaine temporarily resolved the paresthesia. These findings suggest an arterial etiology of tarsal tunnel syndrome. (J Am Podiatr Med Assoc 100(3): 209–212, 2010)

Publisher

American Podiatric Medical Association

Subject

General Medicine

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