advertising
-
1
O’Conner D: Sinus tarsi syndrome: a clinical entity. .J Bone Joint Surg Am 40::720. ,1958. .
-
2
Taillard W, Meyer JM, Garcia J, et al: The sinus tarsi syndrome. .Int Orthop 5::117. ,1981. .
-
3
Kuwada GT: Long-term retrospective analysis of the treatment of sinus tarsi syndrome. .J Foot Ankle Surg 33::28. ,1994. .
-
4
Frey C, Feder KS, DiGiovanni CH: Arthroscopic evaluation of the subtalar joint: does sinus tarsi syndrome exist?. Foot Ankle Int 20::185. ,1999. .
-
5
Ebraheim NA, Elgafy H, Sabry FF, et al: Sinus tarsi approach with transarticular fixation for displaced intra-articular fractures of the calcaneus. .Foot Ankle Int 21::105. ,2000. .
-
6
Dozier TJ, Figueroa RT, Kalmar J: Sinus tarsi syndrome. .J La State Med Soc 153::458. ,2001. .
-
7
Canale ST: “Ankle Injuries,” in Campbell’s Operative Orthopedics, 9th Ed, Vol 2, ed by ST Canale, p 1096, CV Mosby, St Louis. ,1998. .
-
8
Boberg J, Kalish SR, Banks AS: “Chronic Ankle Conditions,” in Comprehensive Textbook of Foot Surgery, Vol 1, ed by ED McGlamry, p 1091, Williams & Wilkins, Baltimore. ,1987. .
-
9
Olaff LM, Schulhofer SD, Bocko AP: Subtalar joint arthroscopy for sinus tarsi syndrome: a review of 29 cases. .J Foot Ankle Surg 40::152. ,2001. .
-
10
Rab M, Ebner J, Dellon AL: Innervation of the sinus tarsi and implications for treating anterolateral ankle pain. .Ann Plast Surg 47::500. ,2001. .
-
11
Dellon AL: Denervation of the sinus tarsi for chronic post-traumatic lateral ankle pain. .Orthopedics 25::849. ,2002. .
-
12
Dellon AL, Mackinnon SE, Pestronk A: Implantation of sensory nerve into muscle: preliminary clinical and experimental observations on neuroma formation. .Ann Plast Surg 12::30. ,1984. .
-
13
Meyer RA, Raja SN, Campbell JN, et al: Neural activity originating from a neuroma in the baboon. .Brain Res 325::255. ,1985. .
-
14
Mackinnon SE, Dellon AL: Overlap of the lateral ante-brachial cutaneous nerve and superficial sensory branch of the radial nerve. .J Hand Surg Am 10::522. ,1985. .
-
15
Mackinnon SE, Dellon AL, Hudson AR, et al: Alteration of neuroma formation by manipulation of neural microenvironment. .Plast Reconstr Surg 76::345. ,1985. .
-
16
Dellon AL, Mackinnon SE: Treatment of the painful neuroma by neuroma resection and muscle implantation. .Plast Reconstr Surg 77::427. ,1986. .
-
17
Mackinnon SE, Dellon AL: Results of treatment of recurrent dorsoradial wrist neuromas. .Ann Plast Surg 19::54. ,1987. .
-
18
Evans GRD, Dellon AL: Implantation of the palmar cutaneous branch of the median nerve into the pronator quadratus for treatment of painful neuroma. .J Hand Surg Am 19::203. ,1994. .
-
19
Dellon AL: Treatment of recurrent metatarsalgia by neuroma resection and muscle implantation: case report and proposed algorithm of management for Morton’s “neuroma.”. Microsurgery 10::256. ,1989. .
-
20
Dellon AL, Aszmann OC: Treatment of dorsal foot neuromas by translocation of nerves into anterolateral compartment. .Foot Ankle Int 19::300. ,1998. .
-
21
Kim J, Dellon AL: Pain at the site of tarsal tunnel incision due to neuroma of the posterior branch of the saphenous nerve. .JAPMA 91::109. ,2001. .
-
22
Wolfort S, Dellon AL: Treatment of recurrent neuroma of the interdigital nerve by neuroma resection and implantation of proximal nerve into muscle in the arch. .J Foot Ankle Surg 40::404. ,2001. .
-
23
Lawrence SJ, Botte MJ: The sural nerve in the foot and ankle: an anatomic study with clinical and surgical implications. .Foot Ankle Int 15::490. ,1994. .
-
24
Dellon AL, Mackinnon SE, Daneshvar A: Terminal branch of anterior interosseous nerve as source of wrist pain. .J Hand Surg Br 9::316. ,1984. .
-
25
Dellon AL: Partial dorsal wrist denervation: resection of the distal posterior interosseous nerve. .J Hand Surg Am 10::527. ,1985. .
-
26
Dellon AL, Mont MA, Mullick T, et al: Partial denervation for persistent neuroma pain around the knee. .Clin Orthop 329::216. ,1996. .
-
27
Coert JH, Dellon AL: Clinical implications of the surgical anatomy of the sural nerve. .Plast Reconstr Surg 94::850. ,1994. .
Sinus Tarsi Denervation
Clinical Results
Search for other papers by A. Lee Dellon in
Current site
Google Scholar
PubMed
Midwestern University College of Health Sciences, Glendale, AZ.
Search for other papers by Stephen L. Barrett in
Current site
Google Scholar
PubMed
Traumatic neuroma of the branches of the deep peroneal nerve that innervate the sinus tarsi can be the source of recalcitrant lateral ankle pain. That these nerves can be the source of the pain can be demonstrated by nerve blocks, and this pain can be surgically treated by resection of the appropriate branch of the deep peroneal nerve. This article documents the clinical results of this approach in 13 patients with sinus tarsi syndrome. At a minimum of 6 months postoperatively, 10 patients (77%) were completely pain-free, wore normal shoes, and had returned to work. Two patients (15%) had a small degree of residual pain but resumed usual activities and wore normal footwear. One patient had some pain relief but could not resume usual activities. We conclude that denervation of the sinus tarsi can relieve recalcitrant pain emanating from the sinus tarsi. This approach may reduce the need for subtalar fusion or evacuation procedures, including arthroereisis, thus avoiding their potential complications. Moreover, sinus tarsi denervation may allow the continued use of an arthroereisis implant in the presence of satisfactory objective findings, despite the subjective presence of postoperative pain. (J Am Podiatr Med Assoc 95(2): 108–113, 2005)
advertising
advertising
