Tarsal Tunnel Syndrome (BRONZE)

Question 1

What aspect of the foot does the tarsal tunnel run?

Answer 1

Medial Aspect of the ankle.

Question 2

What structures pass through the Tarsal Tunnel

Answer 2

Tom Dick Van Harry

Tibial Nerve
Tibialis Posterior Tendon
Flexor Digitorum Longus Tendon
Tibial Vein and Posterior Tibial Artery
Flexor Hallucis Longus Tendon

Question 3

What structure is involved/injured?

Answer 3

Tibial nerve via compression within the tarsal tunnel

Question 4

What foot deformities can place tension on the tibial nerve?

Answer 4

Pes Planus
Hindfoot/Rearfoot Valgus (Subtalar Pronation)

Question 5

What special tests may be done to confirm diagnosis?

Answer 5

Tinel Sign, posterior to the medial malleolus

Question 6

Likely Clinical Presentation?

Answer 6

Pain, numbness, paresthesia of the foot. (Medial aspect, or plantar surface)

(Initially may be mistaken for Plantar Fasciitis)