Acute tarsal tunnel syndrome following partial avulsion of the flexor hallucis longus muscle: A case report

An acute posterior tibial nerve compression from a partially ruptured flexor hallucis longus (FHL) muscle is reported. This etiology for acute tarsal tunnel syndrome has not been previously described. A 17-year-old male sustained multiple injuries in a motor vehicle accident, including a tibial shaf...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of foot and ankle surgery 2002-07, Vol.41 (4), p.243-246
Main Authors: Mezrow, Craig K., Sanger, James R., Matloub, Hani S.
Format: Article
Language:English
Subjects:
Acute Disease
Adolescent
Biological and medical sciences
compression neuropathy
Humans
Injuries of the limb. Injuries of the spine
lower extremity trauma
Male
Medical sciences
Muscles - injuries
Muscles - pathology
Necrosis
posterior tibial nerve
Rupture
tarsal tunnel
tarsal tunnel syndrome
Tarsal Tunnel Syndrome - etiology
Tarsal Tunnel Syndrome - surgery
Traumas. Diseases due to physical agents
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An acute posterior tibial nerve compression from a partially ruptured flexor hallucis longus (FHL) muscle is reported. This etiology for acute tarsal tunnel syndrome has not been previously described. A 17-year-old male sustained multiple injuries in a motor vehicle accident, including a tibial shaft fracture and a posterior medial right ankle laceration of the same limb. The injured limb had no sensation on the plantar aspect of the foot and heel, decreased active great toe flexion, and associated leg pain. Exploration of the posterior tibial nerve for presumed laceration revealed the nerve to be intact, but compressed in a tense tarsal tunnel from a retracted partially ruptured flexor hallucis longus tendon. Decompression of the tunnel and resection of the devascularized muscle resulted in complete neurologic recovery.
ISSN:1067-2516
1542-2224
DOI:10.1016/S1067-2516(02)80022-9