Weight-bearing Ultrasound to Diagnose Talar Dislocation Causing Tarsal Tunnel Syndrome

Prague Med Rep. 2024;125(2):172-177. doi: 10.14712/23362936.2024.17.

Abstract

The neuropathic compression of the tibial nerve and/or its branches on the medial side of the ankle is called tarsal tunnel syndrome (TTS). Patients with TTS presents pain, paresthesia, hypoesthesia, hyperesthesia, muscle cramps or numbness which affects the sole of the foot, the heel, or both. The clinical diagnosis is challenging because of the fairly non-specific and several symptomatology. We demonstrate a case of TTS caused by medial dislocation of the talar bone on the calcaneus bone impacting the tibial nerve diagnosed only by ultrasound with the patient in the standing position.

Keywords: Diagnosis; Nerve compression syndromes; Tarsal tunnel syndrome; Tibial nerve; Ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Joint Dislocations / diagnosis
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / etiology
  • Male
  • Middle Aged
  • Talus* / abnormalities
  • Talus* / diagnostic imaging
  • Tarsal Tunnel Syndrome* / diagnosis
  • Tarsal Tunnel Syndrome* / diagnostic imaging
  • Tarsal Tunnel Syndrome* / etiology
  • Ultrasonography* / methods
  • Weight-Bearing