J Korean Soc Plast Reconstr Surg.  2006 Sep;33(5):648-651.

Tarsal Tunnel Syndrome Induced by a Ganglionic mass: A Case Report

• Seul CH
• Nam SH
• Chung YK

Abstract

PURPOSE
Tarsal tunnel syndrome is characterized by pain and paresthesia of the entire posterior tibial nerve and its branches of the lower extremity. The cause of the tarsal tunnel syndrome is usually unknown but, rare case of space occupying benign tumors such as a ganglion may be one of the causes. We report our experiences of surgical treatment of the tarsal tunnel syndrome caused by ganglion we have encountered recently.
METHODS
A 54-year-old male patient presented with paresthesia, burning pain, positive Tinnel's sign without preceeding trauma, infection or any other causes of event. With surgical intervention, we completely removed the space occupying ganglion and with performed surgical release of the posterior tibial nerve and its branches.
RESULTS
At a 14-month follow up examination, the symptoms of paresthesia, burning pain, sensory disturbance was much improved compared to the preoperative conditions. Takakura's rating scale was elevated from 4(Poor) to 8(Good).
CONCLUSION
We report our surgical experience of a rare case of tarsal tunnel syndrome caused by a ganglion, with a review of literature.

Keyword

Tarsal tunnel syndrome; Posterior tibial nerve; Ganglion

MeSH Terms

Burns
Follow-Up Studies
Ganglion Cysts*
Humans
Lower Extremity
Male
Middle Aged
Paresthesia
Tarsal Tunnel Syndrome*
Tibial Nerve