The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
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Review Case Reports
Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature.
Ganglia within the posterior tibial nerve is a rare condition. The authors report 2 cases of epineural ganglion of the posterior tibial nerve, causing tarsal tunnel syndrome. Both cases presented with numbness on the plantar surface of the foot. ⋯ Intrafascicular ganglia present beneath the epineurium and involve the nerve fibers, whereas epineural ganglia are located in the epineurium and do not involve the nerve fibers. A review of the literature discusses these concepts. The authors suggest that epineural ganglion should be clinically distinctive from an intrafascicular ganglion because of the differences in surgical treatment, postoperative nerve function, and the recurrence rate.
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Comparative Study
Flexible flatfoot treatment with arthroereisis: radiographic improvement and child health survey analysis.
This study was designed to ascertain if there was a statistically significant correction in the foot and to determine the overall health of a child after an arthroereisis procedure. Thirty-seven patients (67 feet) who had undergone Maxwell-Brancheau arthroereisis were retrospectively reviewed at an average of 18.4 months after surgery. The pre- and postoperative lateral talo-first metatarsal and talar declination and the anteroposterior talo-first metatarsal and talocalcaneal angles were measured by using an X-Caliper device (Eisenlohr Technologies, Davis, CA); significance was determined with a t test. ⋯ The preoperative average anteroposterior talo-first metatarsal and talocalcaneal angles were 13.8 and 25.6, respectively, and were 6.4 and 19.4, respectively, postoperatively. The t test showed the postoperative angles had a statistically significant (P <.01) change from the preoperative angles. The results of the Child health questionnaire of our 34 pediatric patients (92%) showed scores in 3 domains (role emotional behavior, global behavior, parent time) that were better than population norms, and there was no difference in the remaining domains.