Tortuosity and Pulsatility of the Tibial Artery – Two Case Reports of a Rare Etiology of Tarsal Tunnel Syndrome

Márcio Luís Duarte, Mayara Oliveira da Silva, Ocacir de Souza Reis Soares

Tortuosity and Pulsatility of the Tibial Artery – Two Case Reports of a Rare Etiology of Tarsal Tunnel Syndrome

Číslo: 4/2023
Periodikum: Acta Medica
DOI: 10.14712/18059694.2024.12

Klíčová slova: Nerve Compression Syndromes, Tarsal Tunnel Syndrome, Tibial nerve, ultrasonography, diagnosis.

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Anotace: Tarsal tunnel syndrome is a neuropathic compression of the tibial nerve and its branches on the medial side of the ankle. It is a challenging diagnosis that constitutes symptoms arising from damage to the posterior tibial nerve or its branches as they proceed through the tarsal tunnel below the flexor retinaculum in the medial ankle, easily forgotten and underdiagnosed. Neural compression by vascular structures has been suggested as a possible etiology in some clinical conditions. Tibial artery tortuosity is not that rare, but only that it affects the nerve can cause tarsal tunnel syndrome. Therefore, a study care must be taken to avoid false-positive errors.