• 1

    Mann RA: Tarsal tunnel syndrome. .Orthop Clin North Am 5::109. ,1974. .

  • 2

    Pho RW, Rasjid C: A ganglion causing tarsal tunnel syndrome: report of a case. .Aust N Z J Surg 48::96. ,1978. .

  • 3

    Matricali B: Tarsal tunnel syndrome caused by ganglion compression. .J Neurosurg Sci 24::183. ,1980. .

  • 4

    Kenzora JE, Lenet MD, Sherman M: Synovial cyst of the ankle joint as a cause of tarsal tunnel syndrome. .Foot Ankle 3::181. ,1982. .

  • 5

    Taguchi Y, Nosaka K, Yasuda K, et al: The tarsal tunnel syndrome: report of two cases of unusual cause. .Clin Orthop 217::247. ,1987. .

  • 6

    Richardson EG: “The Foot in Adolescents and Adults,” in Campbell’s Operative Orthopedics, 7th Ed, ed by AH Crenshaw, p 814, CV Mosby, St Louis. ,1987. .

  • 7

    Downey MS, Sorrento DL: “Tarsal Tunnel Syndromes,” in McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, 3rd Ed, Vol 2, ed by AS Banks, MS Downey, DE Martin, et al, p 1266, Lippincott Williams & Wilkins, Philadelphia. ,2004. .

  • 8

    Lau JT, Stavrou P: Posterior tibial nerve: primary. .Foot Ankle Clin 9::271. ,2004. .

  • 9

    Loeffler F, Volkmann J: Ein seltener Befund bei angeblichen Plattfussbeschwerden (ganglion des Nervenscheide des Tibialis). .Zbl Chir 47::1339. ,1920. .

    • Search Google Scholar
    • Export Citation
  • 10

    Jacobs RR, Maxwell JA, Kepes J: Ganglia of the nerve: presentation of two unusual cases, a review of the literature, and a discussion of pathogenesis. .Clin Orthop 113::135. ,1975. .

    • Search Google Scholar
    • Export Citation
  • 11

    Penkert G, Moringlane JR, Lorenz R: Intraneurales ganglion des nervus tibialis im tarsaltunnel. .Nervenarzt 55::552. ,1984. .

  • 12

    Høgh J: Benign cystic lesions of peripheral nerves. .Int Orthop 12::269. ,1988. .

  • 13

    Poppi M, Giuliani G, Pozzati E, et al: Tarsal tunnel syndrome secondary to intraneural ganglion. .J Neurol Neurosurg Psychiatry 52::1014. ,1989. .

  • 14

    Boyer MI, Hochban T, Bowen V: Tarsal tunnel syndrome: an unusual case resulting from an intraneural degenerative cyst. .Can J Surg 38::371. ,1995. .

  • 15

    Fujita I, Matsumoto K, Minami T, et al: Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature. .J Foot Ankle Surg 43::185. ,2004. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Spinner RJ: Tibial intraneural ganglia in the tarsal tunnel [letter]. .J Foot Ankle Surg 44::74. ,2005. .

  • 17

    Kashani SR, Moon AH, Gaunt WD: Tibial nerve entrapment by a Baker cyst: case report. .Arch Phys Med Rehabil 66::49. ,1985. .

  • 18

    Daneyemez M, Baysefer A, Acka G, et al: Nerve entrapment by a firmly wrapped Baker cyst. .Minim Invasive Neurosurg 41::172. ,1998. .

  • 19

    Groulier P, Benaim JL, Curvale G, et al: Un cas de compression du nerf tibial posteriour par un kyste synovial developpe aux depens de l’articulation peroneotibiale superieure. .Rev Chir Orthop Reparatrice Appar Mot 73::67. ,1987. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Friedlander HL: Intraneural ganglion of the tibial nerve: a case report. .J Bone Joint Surg Am 49::519. ,1967. .

  • 21

    Mahaley MS Jr: Ganglion of the posterior tibial nerve: case report. .J Neurosurg 40::120. ,1974. .

  • 22

    Spinner RJ, Atkinson JL, Harper CM Jr, et al: Recurrent intraneural ganglion cyst of the tibial nerve: case report. .J Neurosurg 92::334. ,2000. .

  • 23

    Spinner RJ, Atkinson JL, Scheithauer BW, et al: Peroneal intraneural ganglia: the importance of the articular branch: clinical series. .J Neurosurg 99::319. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Spinner RJ, Atkinson JL, Tiel RL: Peroneal intraneural ganglia: the importance of the articular branch: a unifying theory. .J Neurosurg 99::330. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25

    Takakura Y, Kitada C, Sugiomoto K, et al: Tarsal tunnel syndrome: causes and results of operative treatment. .J Bone Joint Surg Br 73::125. ,1991. .

  • 26

    Baba H, Wada M, Annen S, et al: The tarsal tunnel syndrome: evaluation of surgical results using multivariate analysis. .Int Orthop 21::67. ,1997. .

  • 27

    Urguden M, Bilbasar H, Ozdemir H, et al: Tarsal tunnel syndrome: the effect of the associated features on outcomes of surgery. .Int Orthop 26::253. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Tarsal Tunnel Surgery for Treatment of Tarsal Ganglion

A Rewarding Operation with Devastating Potential Complications

Gedge D. Rosson Dellon Institute for Peripheral Nerve Surgery, Baltimore, MD. Dr. Rosson is now with the Department of Plastic Surgery, Johns Hopkins University, Baltimore, MD.

Search for other papers by Gedge D. Rosson in
Current site
Google Scholar
PubMed
Close
 MD
,
Robert J. Spinner Departments of Neurosurgery, Orthopedics, and Anatomy, Mayo Clinic, Rochester, MN.

Search for other papers by Robert J. Spinner in
Current site
Google Scholar
PubMed
Close
 MD
, and
A. Lee Dellon Departments of Plastic Surgery and Neurosurgery, Johns Hopkins University, Baltimore, MD; Divisions of Plastic Surgery and Neurosurgery, Department of Surgery, and Department of Anatomy, University of Arizona, Tucson.

Search for other papers by A. Lee Dellon in
Current site
Google Scholar
PubMed
Close
 MD
Restricted access

Three patients who originally presented with a mass in the tarsal tunnel are described to develop an algorithm for management of the tarsal ganglion. All three patients had complications from ganglion excision, including complete division of the posterior tibial nerve, injury to the posterior tibial artery, and ganglion recurrence. The guiding principles relating to the presence of an extraneural versus an intraneural ganglion are developed. An example of a posterior tibial intraneural ganglion is presented. (J Am Podiatr Med Assoc 95(5): 459–463, 2005)

Corresponding author: A. Lee Dellon, MD, 3333 N Calvert St, Ste 370, Baltimore, MD 21218.