A SUCCESSFUL TREATMENT OF TARSAL TUNNEL SYNDROME USING HYDRO-DISSECTION TECHNIQUE: A CASE REPORT

Received 2023-09-10; Accepted 2024-03-15; Published 2024-09-24

Authors

  • Mohamad Azwan Aziz Sports Medicine Department, University Malaya Medical Centre, Jln Profesor Diraja Ungku Aziz, Lembah Pantai, 59100 Kuala Lumpur, Malaysia.
  • Arshad Puji Arthroscopic Surgery and Sports Injury Unit, Orthopedic Department, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia.
  • Siti Hawa Tahir Arthroscopic Surgery and Sports Injury Unit, Orthopedic Department, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol27no2.23

Keywords:

Tarsal Tunnel syndrome, neuropathic pain, chronic pain, hydro-dissection, entrapment

Abstract

Tarsal tunnel syndrome (TTS) is an uncommon musculoskeletal ankle disorder caused by compression of the posterior tibial nerve at the tarsal tunnel level. Our objective is to describe the first case report of tarsal tunnel syndrome successfully treated with the hydro-dissection technique. This is a case of 41 years old lady who suffered from severe ankle sprain. She was prescribed an ankle brace to treat her ankle sprain. After 1-year post-injury, she complained of moderate to severe medial ankle pain, neuropathic, radiating to the big toe. Clinical assessments revealed tenderness at the tarsal tunnel area, accompanied by a positive Tinel sign, reproducing similar symptoms. Ultrasound examination confirmed an enlarged posterior tibial nerve at the level of the tarsal tunnel, with tenderness during
sono-palpation and reproducing symptoms on sono-Tinel sign. She underwent hydro-dissection of the posterior tibial nerve with a marked reduction in pain and improvement in daily function.

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Published

2024-09-24

Issue

Vol. 27 No. 2 (2024)

Section

Research article

License

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