Skip to main content
Top
Gepubliceerd in:

Open Access 01-12-2011 | Oral presentation

Tarsal tunnel syndrome caused by a flexor digitorum accessorius longus muscle: a case report and review of the literature

Auteur: Dean Samaras

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2011

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
insite
ZOEKEN
The flexor digitorum accessorius longus (FDAL) is a rare muscular occurrence in the lower extremity. In this case study and review of the literature the cause of tarsal tunnel syndrome by a flexor digitorum accessorius longus is described with emphasis on clinical testing methods, diagnostic imaging and both non-surgical and surgical management. A 52 year old male presented with pain and paraesthesia in his left foot and ankle. Tinel’s sign was exhibited clinically as well as severe bilateral pes planus. Inverted style custom foot orthoses failed to reduce the patient’s symptoms over a six month period. Magnetic resonance imaging (MRI) confirmed the presence of a FDAL muscle within the tarsal tunnel. The patient was subsequently referred to a podiatric surgeon for decompression and excision of the accessory muscle. Follow up at 18 months revealed resolution of pain and return to normal activities however, some plantar paraesthesia remained. A literature search was conducted across several major scientific databases. Further information was sought with citation tracking, reference checking, reviewing unpublished data and seeking expert opinion. The search yielded sixteen research papers pertaining to the FDAL muscle. Six of these papers described the FDAL as the cause of TTS in the form of case studies and were included in the review. Pain and paraesthesia were described as the pertinent symptoms and indicative of neural pathology, as was a Tinel’s sign. MRI was preferred for diagnostic purposes due to the ability to detect space-occupying lesions within the tarsal tunnel. In some cases FDAL was diagnosed intra-operatively. Surgical decompression via excision of the accessory muscle was described with a reportedly high success rate. Practitioners treating the foot and ankle should have a degree of suspicion for the presence of an accessory muscle particularly when interpreting MRI films as part of the diagnostic work-up for TTS.
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Onze productaanbevelingen

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Metagegevens
Titel
Tarsal tunnel syndrome caused by a flexor digitorum accessorius longus muscle: a case report and review of the literature
Auteur
Dean Samaras
Publicatiedatum
01-12-2011
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2011
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-4-S1-O42

Andere artikelen bijlage 1/2011

Journal of Foot and Ankle Research 1/2011 Naar de uitgave