Nerve Entrapment
A 48-year-old woman presents with burning pain in the sole of her foot and toes that worsens at night and with prolonged standing. Examination reveals a positive Tinel sign posterior to the medial malleolus and reproduces her symptoms with the dorsiflexion-eversion stress test. MRI shows a ganglion cyst in the tarsal tunnel. She has failed 4 months of conservative treatment including orthotics and corticosteroid injection. Regarding tarsal tunnel syndrome:
Mark each as TRUE or FALSE
The tarsal tunnel contains structures in order from anterior to posterior: tibialis posterior, flexo...
The posterior tibial nerve has three terminal branches: medial calcaneal nerve (branches first, sens...
Space-occupying lesions are rarely identified as a cause; the dorsiflexion-eversion test has the low...
The Tinel sign (tapping posterior to medial malleolus) has high specificity (92%); the dorsiflexion-...
Surgical decompression must include release of the flexor retinaculum AND extension through the abdu...
Answer the questions to see explanations
Click T (True) or F (False) for each option