Acute tarsal tunnel syndrome after pes cavus correction. Can the foot position be a triggering factor?

Meletis Rozis MD, PhD, Evangelos Sakellariou MD, MSc, Ioannis Spyrou MD, Spyros Pneumaticos PhD
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Abstract

Acute tarsal tunnel syndrome is a rare entity in general population. We present a case report of an acute onset after pes cavus correction, treated with gradual foot plantigrade repositioning with an external fixator, without need of tunnel release. The patient's vivid symptomatology and the good clinical course after conservative treatment, underlines the vulnerability of the tibial nerve when treating patients with stiff varus deformities, and further highlights the importance of gradual corrections by utilising the external fixators in the treatment plan.

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拇趾外翻矫正术后的急性跗骨隧道综合征。脚的位置会是诱发因素吗?
急性跗骨隧道综合征在普通人群中十分罕见。我们报告了一例拇趾外翻矫正术后急性发病的病例,患者使用外固定器将足跖部逐渐复位,无需进行隧道松解术。该患者症状明显,经保守治疗后临床疗效良好,这凸显了胫神经在治疗僵硬变位畸形患者时的脆弱性,并进一步强调了在治疗方案中使用外固定器进行渐进矫正的重要性。
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来源期刊
Foot & ankle surgery (New York, N.Y.)
Foot & ankle surgery (New York, N.Y.) Orthopedics, Sports Medicine and Rehabilitation, Podiatry
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