MRI Findings of Bilateral Anterior Tarsal Tunnel Syndrome - A Case Report.

IF 1.7 4区 医学 Q4 NEUROSCIENCES
Yi Yan, David Wang, Vishal Kalia, Gregory Garvin
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引用次数: 0

Abstract

Anterior tarsal tunnel syndrome, an infrequent entrapment neuropathy involving the deep peroneal nerve beneath the inferior extensor retinaculum in the anterior ankle, is often overlooked on medical images, leading to delayed diagnosis and treatment. We present the case of a 52-year-old male, an avid runner, who exhibited a sensation of burning and tingling in the dorsal region of both feet. Electrophysiologic studies suggested bilateral deep peroneal neuropathy. Subsequent magnetic resonance imaging revealed bilateral focal regions of signal alteration, consistent with scarring, encasing the deep peroneal nerves at the anterior tarsal tunnel. These regions were indented by the deep laminae of the inferior extensor retinacula, suggesting compression. The constellation of findings was consistent with anterior tarsal tunnel syndrome. This is a unique case of bilateral deep peroneal nerve entrapment exacerbated by repetitive microtrauma, culminating in anterior tarsal tunnel syndrome. Notably, this case represents the first instance in literature where MRI played a pivotal role in diagnosis.

双侧跗骨前隧道综合征的MRI表现1例。
跗骨前隧道综合征是一种少见的压迫性神经病变,累及前踝关节下伸肌视网膜带下腓深神经,常在医学图像上被忽视,导致诊断和治疗延迟。我们提出的情况下,一个52岁的男性,一个狂热的跑步者,谁表现出烧灼感和刺痛感在双脚背部区域。电生理检查提示双侧腓深神经病变。随后的磁共振成像显示双侧病灶区信号改变,与瘢痕一致,包围腓深神经在跗骨前隧道。这些区域被下伸肌视网膜的深椎板压痕,提示压迫。这些发现与跗骨前隧道综合征一致。这是一个独特的病例双侧腓深神经卡压加重重复性微创伤,最终在跗骨前隧道综合征。值得注意的是,这个病例代表了文献中MRI在诊断中发挥关键作用的第一个实例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Journal of Musculoskeletal and Neuronal Interactions (JMNI) is an academic journal dealing with the pathophysiology and treatment of musculoskeletal disorders. It is published quarterly (months of issue March, June, September, December). Its purpose is to publish original, peer-reviewed papers of research and clinical experience in all areas of the musculoskeletal system and its interactions with the nervous system, especially metabolic bone diseases, with particular emphasis on osteoporosis. Additionally, JMNI publishes the Abstracts from the biannual meetings of the International Society of Musculoskeletal and Neuronal Interactions, and hosts Abstracts of other meetings on topics related to the aims and scope of JMNI.
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