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

Seul, Chul Hwan; Nam, Sang Hyun; Chung, Yoon Kyu

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(5):648-651.
Published online September 1, 2006.

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

Chul Hwan Seul, Sang Hyun Nam, Yoon Kyu Chung

¹Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.
²Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea. ykchung@wounju.yonsei.ac.kr

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.

Keywords: Tarsal tunnel syndrome; Posterior tibial nerve; Ganglion