Abstract
The anterior tarsal tunnel syndrome is an entrapment neuropathy of the deep branch of the peroneal nerve beneath the inferior extensor retinaculum.The authors surgically treated seven cases of anterior tarsal tunnel syndrome. Two male and four female patients ranged in age from 10 to 80 years.After failure of conservative therapy (steroid in filtrated into trigger point, vitamin B1 and B12 medication the patients underwent surgery.The patients complained of pain or paresthesia in the dorsum of the foot and the first interdigital space.At exploration, the causes of compression were as follows: cicatricial, thickened membranous tissue over the head of the tales in four cases, anterior protrusion of the anterior edge of the distal tibia in two, tendon of the extensor hallacis muscle in two, adhesion and scar tissue in one.In all cases sensory recovery occurred with in a few days after the surgical decompression.The authors believe that sitting in the Japanese style is one of the causes of extrusion.
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