Foot & ankle international
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Pressure in the tarsal tunnel has been shown to be elevated when the ankle is pronated. We hypothesized that this also would be true for the medial plantar and lateral plantar tunnels because they also are potential sites of nerve compression. Additionally, we hypothesized that decompression surgery, including a release of the superficial and deep fascia of the abductor hallucis muscle and excision of the septum between the medial and lateral plantar tunnels, would decrease the pressure in all three tunnels. ⋯ Symptoms related to chronic compression of the tibial nerve and its branches at the ankle may be relieved by an operative strategy that targets release of multiple anatomic regions of tightness in the medial ankle rather than focusing on the tarsal tunnel alone.
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Gymnastics is a competitive and popular sport that is started at an early age, and elite female gymnasts reach their prime in mid-teenage years. The level of intensity of practice and competition, the number of events, and the degree of difficulty of the maneuvers make gymnastics one of the most injury-producing sports. ⋯ Elite female gymnasts can sustain significant injury to the foot and ankle region. In our study, Lisfranc injuries were most likely career-ending.