Abstract
The tarsal tunnel syndrome is an uncommon condition. Surgical treatment is indicated whenever nonoperative management fails. Etiology is not always known. Does the result of surgical treatment depend on the etiology? The aim of this clinical study is to report our clinical results after surgical treatment for tarsal tunnel syndrome and to analyze the results depending on the etiology. Ten patients with tarsal tunnel syndromes were operated and the clinical outcome was measured by a pain visual analogue scale, the ankle-hindfoot AOFAS scale, and the degree of subjective satisfaction. Although significant improvement was found in the average visual analogue scale and AOFAS score, subjective satisfaction was less favorable. Patients were more satisfied when an etiology was found preoperatively, but statistic difference was not significant. Decompression of the tibial nerve should be considered with caution unless there is an associated lesion near or within the tarsal tunnel preoperatively. When indicated, extensive exposure guarantees adequate release.
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