J Yeungnam Med Sci.  2023 Jan;40(1):106-108. 10.12701/yujm.2021.01473.

Tarsal tunnel syndrome due to talocalcaneal coalition

Affiliations
  • 1Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea
  • 2Department of Physical Medicine and Rehabilitation, Centre hospitalier de l’Université de Montréal, Montréal, Canada
  • 3Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea


Figure

  • Fig. 1. (A) The prominence on the posterior inferior aspect of the right medial malleolus (red arrow,) called the “double medial malleolus sign” (yellow arrow, medial malleolus). (B) Lateral radiograph of the right ankle reveals a continuous C-shaped arc (yellow arrows), which is formed by the medial outline of the talar dome and posteroinferior aspect of the sustentaculum tali due to their bridging, and the bony prominence (red arrow) over the right sustentaculum tali and medial process of talus were observed. (C) Axial, (D) semicoronal, and (E) sagittal right ankle computed tomography show talocalcaneal coalition (asterisks) in the posterior subtalar joint. (F) Axial, (G) coronal, and (H) sagittal T2-weighted magnetic resonance imaging of the right ankle reveal the talocalcaneal coalition (asterisks) and tibial nerve adjacent to the coalition. The medial plantar nerve (red arrow) was compressed by the coalition (yellow arrows, lateral plantar nerve). (I) Intraoperative finding of talocalcaneal coalition.


Reference

References

1. Crim JR, Kjeldsberg KM. Radiographic diagnosis of tarsal coalition. AJR Am J Roentgenol. 2004; 182:323–8.
2. Cimino WR. Tarsal tunnel syndrome: review of the literature. Foot Ankle. 1990; 11:47–52.
3. Mann RA. Disease of the nerve. In : Man RA, Coughlin MJ, editors. Surgery of the foot and ankle. St. Louis: Mosby;1999. p. 512–6.
4. Guduri V, Dreyer MA. Talocalcaneal coalition [updated 2021 Mar 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing;2021. [cited 2021 Aug 5]. https://www.ncbi.nlm.nih.gov/books/NBK549853/.
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