| Effect of foot and ankle position on tarsal tunnel compartment pressure. | |
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MedLine Citation:
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PMID: 10582848 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Tarsal tunnel intracompartment pressures were determined in 10 fresh-frozen normal human adult cadaver specimens. With the foot and ankle held in mild plantarflexion and neutral eversion-inversion, mean tarsal tunnel pressure was minimal (2 +/- 1 mmHg). However, when the foot and ankle were positioned in full eversion, mean tarsal tunnel pressure increased to 32 +/- 5 mmHg (P < or = 0.005); in full inversion, mean pressure increased to 17 +/- 5 mmHg (P < or = 0.05). There was no significant difference in mean tarsal tunnel pressure between the everted and inverted positions. These results support the hypothesis that increased pressure within the tarsal tunnel when the foot is moved into the everted or inverted position may aggravate posterior tibial nerve entrapment. These findings may also provide an explanation for clinically observed aggravation of symptoms in these positions, night pain, and improvement of symptoms with neutral immobilization in some patients with tarsal tunnel syndrome. |
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Authors:
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E Trepman; N J Kadel; K Chisholm; L Razzano |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 20 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 1999 Nov |
Date Detail:
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Created Date: 2000-01-05 Completed Date: 2000-01-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 721-6 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, New York University, Hospital for Joint Diseases, New York, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ankle / physiology* Biomechanics Cadaver Foot / physiology* Humans Models, Biological Pressure Tarsal Tunnel Syndrome / physiopathology*, therapy |
| Comments/Corrections | |
Comment In:
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Foot Ankle Int. 2000 Jul;21(7):616-7
[PMID:
10919632
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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