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Tarsal tunnel syndrome (TTS) is a nerve compression syndrome or nerve entrapment syndrome causing a painful foot condition in which the tibial nerve is entrapped as it travels through the tarsal tunnel. [1] [2] The tarsal tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle). The posterior tibial ...
The flexor retinaculum of the foot extends from the medial malleolus above, to the calcaneus below. [1] This converts a series of bony grooves into canals for the passage of the tendons of the flexor muscles and the posterior tibial vessels and tibial nerve into the sole of the foot, known as the tarsal tunnel.
Tarsal tunnel syndrome is the most commonly reported nerve entrapment of the ankle. It is analogous to carpal tunnel syndrome in the wrist. It is caused by compression of the tibial nerve underneath the flexor retinaculum of the foot. [1] People with tarsal tunnel syndrome have pain in the plantar aspect of the foot mostly at night.
The sinus tarsi located in the hindfoot, it is contained by the calcaneus, talus, talocalcaneonavicular joint, and the bottom of the subtalar joint. [1] There are five ligamentous structures present inside it: the intermediate, medial, and lateral roots of the inferior extensor retinaculum; the cervical ligament, and the interosseous talocalcaneal ligament.
The talus (/ ˈ t eɪ l ə s /; Latin for ankle [1] or ankle bone; [2] pl.: tali), talus bone, astragalus (/ ə ˈ s t r æ ɡ ə l ə s /), or ankle bone is one of the group of foot bones known as the tarsus. The tarsus forms the lower part of the ankle joint. It transmits the entire weight of the body from the lower legs to the foot. [3]
Between these superior articulations and the equivalents on the talus is the tarsal sinus (a canal occupied by the interosseous talocalcaneal ligament). [ citation needed ] At the upper and forepart of the medial surface of the calcaneus, below the middle talar facet, there is a horizontal eminence, the talar shelf (also sustentaculum tali ). [ 2 ]
The talus bone or ankle bone is connected superiorly to the two bones of the lower leg, the tibia and fibula, to form the ankle joint or talocrural joint; inferiorly, at the subtalar joint, to the calcaneus or heel bone. Together, the talus and calcaneus form the hindfoot. [1]
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus.