Tarsal Tunnel Syndrome Associated With a Bipartite Talus.
Journal
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
ISSN: 2474-7661
Titre abrégé: J Am Acad Orthop Surg Glob Res Rev
Pays: United States
ID NLM: 101724868
Informations de publication
Date de publication:
01 Feb 2024
01 Feb 2024
Historique:
received:
25
07
2023
accepted:
18
12
2023
medline:
7
2
2024
pubmed:
7
2
2024
entrez:
7
2
2024
Statut:
epublish
Résumé
Talus bipartitus is a rare skeletal anomaly that may be mistaken for an os trigonum, a relatively common accessory ossicle found posterior to the talus. Both are believed to be formed similarly with the failed fusion of the talus with a second ossification center. Os trigonum is often diagnosed incidentally or found on radiographs obtained in symptomatic patients with signs of os trigonum syndrome, which presents with posterolateral ankle pain. A bipartite talus may also present with similar symptoms but may be differentiated through its articular involvement. In this article, we describe the rare presentation of tarsal tunnel syndrome in a patient caused by a bipartite talus. The patient underwent surgical decompression with the removal of the posterior fragment. A bipartite talus is a rare entity that may be mistaken for an os trigonum, a common accessory ossicle. In this article, we describe an outcome of a bipartite talus fragment removal due to tarsal tunnel syndrome and illustrate a rare pathological consequence of a bipartite talus. We further highlight the importance of early surgical management in patients presenting with an identifiable structure contributing to tibial nerve compression.
Sections du résumé
BACKGROUND
BACKGROUND
Talus bipartitus is a rare skeletal anomaly that may be mistaken for an os trigonum, a relatively common accessory ossicle found posterior to the talus. Both are believed to be formed similarly with the failed fusion of the talus with a second ossification center. Os trigonum is often diagnosed incidentally or found on radiographs obtained in symptomatic patients with signs of os trigonum syndrome, which presents with posterolateral ankle pain. A bipartite talus may also present with similar symptoms but may be differentiated through its articular involvement.
CASE
METHODS
In this article, we describe the rare presentation of tarsal tunnel syndrome in a patient caused by a bipartite talus. The patient underwent surgical decompression with the removal of the posterior fragment.
CONCLUSION
CONCLUSIONS
A bipartite talus is a rare entity that may be mistaken for an os trigonum, a common accessory ossicle. In this article, we describe an outcome of a bipartite talus fragment removal due to tarsal tunnel syndrome and illustrate a rare pathological consequence of a bipartite talus. We further highlight the importance of early surgical management in patients presenting with an identifiable structure contributing to tibial nerve compression.
Identifiants
pubmed: 38323932
doi: 10.5435/JAAOSGlobal-D-23-00147
pii: 01979360-202402000-00004
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.
Références
Ahmad M, Tsang K, Mackenney PJ, Adedapo AO: Tarsal tunnel syndrome: A literature review. Foot Ankle Surg 2012;18:149-152.
Kosiyatrakul A, Luenam S, Phisitkul P: Tarsal tunnel syndrome associated with a perforating branch from posterior tibial artery: A case report. Foot Ankle Surg 2015;21:e21-e22.
Sweed TA, Ali SA, Choudhary S: Tarsal tunnel syndrome secondary to an Unreported ossicle of the talus: A case report. J Foot Ankle Surg 2016;55:173-175.
Reichert P, Zimmer K, Wnukiewicz W, Kuliński S, Mazurek P, Gosk J: Results of surgical treatment of tarsal tunnel syndrome. Foot Ankle Surg 2015;21:26-29.
Takakura Y, Kitada C, Sugimoto K, Tanaka Y, Tamai S: Tarsal tunnel syndrome. Causes and results of operative treatment. J Bone Joint Surg Br 1991;73:125-128.
Abrego MO, De Cicco FL, Gimenez NE, et al.: Talus bipartitus: A rare anatomical variant presenting as an entrapment neuropathy of the tibial nerve within the tarsal tunnel. Case Rep Orthop 2018;2018:2737982-2737985.
Nwawka OK, Hayashi D, Diaz LE, et al.: Sesamoids and accessory ossicles of the foot: Anatomical variability and related pathology. Insights Imaging 2013;4:581-593.
Nault ML, Kocher MS, Micheli LJ: Os trigonum syndrome. J Am Acad Orthop Surg 2014;22:545-553.
Knapik DM, Guraya SS, Jones JA, Cooperman DR, Liu RW: Incidence and fusion of Os trigonum in a healthy pediatric population. J Pediatr Orthop 2019;39:e718-e721.
Pomeranz CL, Morrison WB, Desai V, Zoga AC, Belair JA: Talus partitus: A review of five cases diagnosed by MRI. Skeletal Radiol 2020;49:491-501.
Zwiers R, de Leeuw PAJ, Kerkhoffs GMMJ, van Dijk CN: Talus bipartitus: A systematic review and report of two cases with arthroscopic treatment. Knee Surg Sports Traumatol Arthrosc 2018;26:2131-2141.
Eichenbaum MD, Austin LS, Raikin SM: Chronic ankle pain secondary to talus partitus: Two case reports. Foot Ankle Int 2010;31:247-250.
Hayashi D, Roemer FW, D'Hooghe P, Guermazi A: Posterior ankle impingement in athletes: Pathogenesis, imaging features and differential diagnoses. Eur J Radiol 2015;84:2231-2241.
Zwiers R, Baltes TPA, Opdam KTM, Wiegerinck JI, van Dijk CN: Prevalence of Os trigonum on CT imaging. Foot Ankle Int 2018;39:338-342.
Mondelli M, Cioni R: Electrophysiological evidence of a relationship between idiopathic carpal and tarsal tunnel syndromes. Neurophysiol Clin 1998;28:391-397.
Lalevée M, Coillard JY, Gauthé R, et al.: Tarsal tunnel syndrome: Outcome according to etiology. J Foot Ankle Surg 2022;61:583-589.