Document Detail

Tibial nerve branching in the tarsal tunnel.
MedLine Citation:
PMID:  2852629     Owner:  NLM     Status:  MEDLINE    
Tarsal tunnel syndrome is an infrequent and probably underdiagnosed clinical condition. Diagnosis and treatment depend on understanding the tibial branching pattern within the tarsal tunnel. A total of 68 foot dissections were performed. Bifurcation into the medial and lateral plantar nerves occurred within the tunnel in 93% and proximal in 7%. Proximal bifurcation may predispose to tarsal tunnel syndrome, and its infrequent occurrence correlates with the infrequent clinical diagnosis. Nine different calcaneal branching patterns were noted; they provide an anatomical explanation for heel sparing. An understanding of anatomic variations should aid in providing complete surgical release and in avoiding accidental heel denervations.
P E Havel; N A Ebraheim; S E Clark; W T Jackson; L DiDio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle     Volume:  9     ISSN:  0198-0211     ISO Abbreviation:  Foot Ankle     Publication Date:  1988 Dec 
Date Detail:
Created Date:  1989-04-14     Completed Date:  1989-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8010104     Medline TA:  Foot Ankle     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  117-9     Citation Subset:  IM    
Medical College of Ohio, Department of Orthopaedic Surgery, Toledo 43699.
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MeSH Terms
Ankle / innervation*
Calcaneus / innervation*
Peripheral Nervous System Diseases / pathology*,  physiopathology
Tarsal Tunnel Syndrome / pathology*,  physiopathology
Tibial Nerve / anatomy & histology,  pathology*,  physiopathology

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