Document Detail


A touch pressure sensory assessment of the surgical treatment of the tarsal tunnel syndrome.
MedLine Citation:
PMID:  22017900     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Decompressive tarsal tunnel surgery may improve dysfunctional plantar foot sensation in, patients with tarsal tunnel syndrome and peripheral neuropathy. However, quantitative sensory, assessment is lacking.
METHOD: Quantitative sensory threshold evaluation of 42 feet in 37 consecutive (29 non-diabetic and 8 diabetic) patients was done before and after surgical decompression for tarsal tunnel syndrome. Insensitivity was documented quantitatively (grams force) before and after surgery using a graded series of twenty Semmes-Weinstein monofilaments applied to the anatomic nerve regions of the plantar aspect of the foot.
RESULTS: Sensory evaluation at an average of 12 months after surgery showed significant improvement, of mean sensory threshold, compared with preoperative values, for medial calcaneal, medial plantar, and lateral plantar nerves.
CONCLUSION: Quantitative sensory assessment with a graded series of twenty Semmes-Weinstein, monofilaments showed significant sensory improvement in the medial calcaneal, medial plantar, and, lateral plantar nerves after posterior tibial nerve decompression.
Authors:
William H Gondring; Byron Shields
Publication Detail:
Type:  Journal Article     Date:  2010-09-21
Journal Detail:
Title:  Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons     Volume:  17     ISSN:  1460-9584     ISO Abbreviation:  Foot Ankle Surg     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-10-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609647     Medline TA:  Foot Ankle Surg     Country:  France    
Other Details:
Languages:  eng     Pagination:  266-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Affiliation:
St. Joseph Orthopedics and Heartland Regional Medical Center, 1335 Village Drive, St. Joseph, MO 64506, USA.
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