Best Practice Case Studies-Tarsal Tunnel

Video Transcription

Video Summary

In this video, a group of fellows from Stanford present a detailed case study on tarsal tunnel syndrome as part of the AMSSN Sports Ultrasound Case Series. They discuss the case of a 27-year-old female runner experiencing recurring foot pain, particularly at night, similar to symptoms before her previous surgical release of the tarsal tunnel. The presentation covers important anatomical structures of the medial ankle, relevant ultrasound imaging techniques, and an ultrasound protocol designed to evaluate these structures. They highlight how the neuroanatomy, including the tibial nerve and its branches, can vary greatly among individuals, emphasizing ultrasound's role in identifying these variations. The fellows showcase ultrasound images to illustrate the evaluation and potential sites of nerve entrapment, such as around the knot of Henry for the medial plantar nerve. The session concludes with an overview of diagnostic and therapeutic interventions like hydrodissection, which provided the patient relief. Additional expert comments suggest the inclusion of more structures in the scanning protocol, such as inspecting for anterior talocrural or subtalar joint issues and reviewing any muscle atrophy related to nerve entrapment. The series will transition from fellow-led to staff-led sessions until it resumes in the winter or spring of 2024.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 04

Topic Ankle

Keywords

3rd Edition, CASE 04

3rd Edition

Ankle

tarsal tunnel syndrome

ultrasound imaging

medial ankle

tibial nerve

nerve entrapment

hydrodissection

AMSSN Sports Ultrasound