Tarsal Tunnel Release 4 Mackinnon SE1 Yee A1 October 8, 2011Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.Tarsal tunnel syndrome describes the compression of the tibial nerve through the tarsal tunnel which results in pain and numbness in the plantar aspect of the foot. The tibial nerve has three major branches which include the calcaneal, medial plantar, and lateral plantar nerve branches. There are two primary structures responsible for compression of the tibial nerve: (1) flexor retinaculum and (2) a septum that compartmentalizes the medial and lateral plantar nerves and the overlying fascia of the abductor hallucis muscle. The tarsal tunnel release involves releasing these structures. In this case, the patient had a traumatic injury to the lower leg, which required open reduction and internal fixation. The patient had pain and numbness in the tibial nerve distribution along with Tinel’s sign and positive scratch collapse at the tarsal tunnel.Keywords: tibial nerveflexor retinaculumcompression neuropathynerve decompressiontarsal tunnel syndrome You must login to view the full article and extended video on this page. Standard Edition Table of Contents- Slow down- Frustration00:00:00 - Introduction00:00:25 - Incision / Exposure of Proximal Incision00:00:41 - Identifying and Dividing the Superficial Fascia through Scar Tissue00:01:40 - Identification of the Posterior Tibial Vessels00:02:05 - Identifying and Dividing the Flexor Retinaculum Proximally00:02:50 - Identification of the Tibial Nerve Proper00:03:03 - Incision / Exposure of Distal Incision00:03:45 - Identifying and Incising the Tendinous Fascia Superficial to the Abductor Hallucis00:04:08 - Retracting the Abductor Hallucis and Identifying the Deep Fascia to the Abductor Hallucis00:04:23 - Dividing the Deep Fascia Superficial to the Lateral Plantar Nerve00:05:44 - Identifying the Abductor Hallucis Fascia Superficial to the Medial Plantar Nerve00:06:40 - Dividing the Abductor Hallucis Fascia Superficial to the Medial Plantar Nerve00:07:24 - Identification and Release of the Calcaneal Nerve Branch00:07:44 - Identifying and Dividing the Flexor Retinaculum Distally You must login to view the full article and extended video on this page. Leave a Comment Cancel replyYou must be logged in to post a comment.