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Sinus Tarsi Syndrome

R P Kleipool, L Blankevoort, J M Ruijter, G M M J Kerkhoffs, R J Oostra
INTRODUCTION: This study presents a reference for the dimensions of the tarsal sinus and canal in healthy adults in different foot positions to facilitate understanding of the kinematics of the subtalar joint, the effect of an implant, and other clinical issues. MATERIALS AND METHODS: In a 3D CT stress test on 20 subjects, the right foot was forced into a neutral and eight different extreme foot positions while CT scans were obtained. The bones were segmented in the neutral foot position...
May 17, 2017: Clinical Anatomy
Gloria N L Wong, Tien Jin Tan
Posterior ankle pain is a cause of chronic pain and disability, afflicting a wide range of individuals. While proper identification of the cause is essential for timely and adequate treatment, identifying the cause and excluding mimickers is often challenging for the physician due to the complex nature of the joint. In addition, pathology that can cause posterior ankle pain may occur on their own or in co-existence. Clinical conditions that can present as posterior ankle pain include: posterior ankle impingement, Achilles tendon pathology, medial flexor tendon pathology, peroneal pathology, retrocalcaneal bursitis, posterior subtalar tarsal coalition, sinus tarsi, and tarsal tunnel syndrome...
December 2016: European Journal of Radiology
Üstün Aydıngöz, Osman Melih Topcuoğlu, Aysegül Görmez, Tijen Cankurtaran, Elif Dilara Topcuoğlu, Fatma Bilge Ergen
OBJECTIVE: The purpose of this study was to determine the prevalence of and relevant findings associated with the accessory anterolateral talar facet, which may have a role in talocalcaneal impingement and sinus tarsi syndrome, on ankle MR images of persons with and those without symptoms. SUBJECTS AND METHODS: In this case-control study, three observers independently reviewed 1.5-T or 3-T MR images of 110 ankles with symptoms in 100 consecutively registered patients (age range, 16-79 years; mean, 41...
August 9, 2016: AJR. American Journal of Roentgenology
Sharjeel Usmani, Fawaz Abu Al Huda, Farida Al Kandari
Sinus tarsi syndrome is a pain in the lateral side of the hind foot that is responsive to injection of local anesthetic agents. We report a case of a 42-year-old man who presented with pain over the lateral aspect of the right foot. Laboratory investigations and x-ray were normal. Bone scintigraphy showed hyperemia and increase tracer uptake in right hind foot. SPECT-CT localizes this uptake at the inferior aspect of the talus and superior aspects of the calcaneus. Diagnosis of sinus tarsi syndrome was made on the basis of history, clinical examination, and bone scintigraphy findings...
April 2016: Clinical Nuclear Medicine
Thomas Mittlmeier, Alice Wichelhaus
PURPOSE: Subtalar joint instability may frequently be overlooked and erroneously be integrated under the diagnosis of ankle joint instability. It was the scope of this review to characterize the present state-of-art with regard to the adequate diagnosis and treatment. METHODS: While the clinical picture is mostly inconclusive for subtalar joint instability, a high degree of suspicion for this diagnosis is needed to employ weight-bearing x-rays, standardized stress radiography, CT scanning and MRI to further elucidate the etiopathology RESULTS: Geometrical reasons as hindfoot deformities, isolated or combined injuries or instabilities in conjunction with the ankle ligament complex do exist which should be differentiated in detail and classified to indicate the adequate treatment...
December 2015: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Daniel Krapf, Sebastian Krapf, Christian Wyss
INTRODUCTION: Accessory ossicles of the foot are a common finding. Although mostly asymptomatic, they can gain clinical relevance by trauma or stress on the complex biomechanical system of the foot. There are few reports on the entity of symptomatic calcaneus secundarius. Furthermore, the current literature does not address the need for awareness of calcaneus secundarius as a differential diagnosis in cases of persistent posttraumatic ankle pain. CASE PRESENTATION: We present the case of a 51-year-old Indo-European man with a medical history of persistent load-dependent ankle pain over 3 decades...
2015: Journal of Medical Case Reports
Gerardo Muñoz, Sergio Eckholt
The emergence of subtalar arthroscopy has improved the understanding and accuracy of diagnosing several hindfoot pathologic conditions, in particular, sinus tarsi syndrome. Subtalar arthroscopy has evolved into a useful diagnostic and therapeutic tool. The surgeon's experience is still essential to achieve good results. This article reviews the clinical indications, surgical techniques, and outcomes of subtalar arthroscopy.
March 2015: Foot and Ankle Clinics
Susanne Rein, Suzanne Manthey, Hans Zwipp, Andreas Witt
The aim of this study was to analyse the pattern of sensory nerve endings and blood vessels around the sinus tarsi. The superficial and deep parts of the fat pads at the inferior extensor retinaculum (IER) as well as the subtalar joint capsule inside the sinus tarsi from 13 cadaver feet were dissected. The distribution of the sensory nerve endings and blood vessels were analysed in the resected specimens as the number per cm(2) after staining with haematoxylin-eosin, S100 protein, low-affinity neurotrophin receptor p75, and protein gene product 9...
April 2014: Journal of Anatomy
Ahmed Abdelazeem, Ahmed Khedr, Mostafa Abousayed, Ahmed Seifeldin, Sherif Khaled
PURPOSE: Evaluation of management of the displaced intra-articular calcaneal fractures (DIACF) Sanders types II and III by using minimally invasive sinus tarsi approach and fixation by screws only technique. METHODS: Open reduction using the limited lateral approach and internal fixation using screws only was studied in 33 patients with unilateral isolated simple DIACF with a mean age of 35 years (15 type II patients and 18 type III patients). All patients were evaluated both clinically and radiologically...
March 2014: International Orthopaedics
Priscilla Tu, Jeffrey R Bytomski
Heel pain is a common presenting symptom in ambulatory clinics. There are many causes, but a mechanical etiology is most common. Location of pain can be a guide to the proper diagnosis. The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain, especially with the first weight-bearing steps in the morning and after long periods of rest. Other causes of plantar heel pain include calcaneal stress fracture (progressively worsening pain following an increase in activity level or change to a harder walking surface), nerve entrapment (pain accompanied by burning, tingling, or numbness), heel pad syndrome (deep, bruise-like pain in the middle of the heel), neuromas, and plantar warts...
October 15, 2011: American Family Physician
Kevin Helgeson
Athletes with persistent anterolateral ankle discomfort may have developed sinus tarsi syndrome (STS). Sinus tarsi syndrome develops from excessive motions of the subtalar joint that results in subtalar joint synovitis and infiltration of fibrotic tissue into the sinus tarsi space. Physical therapists treating athletes with ankle conditions should examine the talocrural and subtalar joints for signs of hypermobility as injuries can affect both of these important articulations of the lower extremity. Localized ankle discomfort to the sinus tarsi space and feelings of instability with pronation and supination movements of the subtalar joint will help identify STS...
February 2009: North American Journal of Sports Physical Therapy: NAJSPT
Ramy Mansour, Zaid Jibri, Sridhar Kamath, Kausik Mukherjee, Simon Ostlere
The initial diagnosis of an "ankle sprain" is not always correct. Prolonged pain, swelling and disability sufficient to limit the activity and refractory to treatment following an ankle injury are not typical of an ankle sprain and should alert the clinician of the possibility of an alternative or an associated diagnosis. There are several conditions that can be misdiagnosed as an ankle sprain and those include ankle syndesmosis injuries, sinus tarsi syndrome, ankle and hind foot fractures, osteochondral lesions, posterior tibialis and peroneal tendons abnormalities, spring ligament damage, impingement syndromes and reflex sympathetic dystrophy...
June 2011: Emergency Radiology
Michael E Graham, Nikhil T Jawrani, Vijay K Goel
Tarsal tunnel syndrome is characterized by increased pressure in the tarsal tunnel. In hyperpronation, there is excessive abnormal pronation resulting from partial displacement of the talus on the calcaneus. In this study, we hypothesized that hyperpronation caused by talotarsal instability will lead to increased pressure in the tarsal tunnel and porta pedis. We also hypothesized that the pressure in these compartments will decrease following an extra-osseous talotarsal stabilization procedure using HyProCure(®)...
January 2011: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Surabhi Choudhary, Eugene McNally
Lateral ankle pain is a common clinical presentation having several important causes, including lateral ligament injury, peroneal tendon injury, sinus tarsi syndrome, and nerve entrapments. However, other causes should be kept in mind in patients with unusual patterns of pain or intractable symptoms. We present a review of common and some unusual causes of lateral ankle pain including a review of post-operative imaging findings following surgery for lateral ankle ligament and peroneal tendon injuries.
November 2011: Skeletal Radiology
Mashfiqul A Siddiqui, Keen Wai Chong, William Yeo, Mohana S Rao, Inderjeet S Rikhraj
The subtalar joint is complex. With the advent of smaller diameter arthroscopes, subtalar arthroscopy has become an important diagnostic and therapeutic tool for subtalar joint disorders. The objective of this study was to evaluate the outcome of patients who underwent arthroscopy for subtalar joint disorders using a 2.4-mm zero-degree arthroscope. In this prospective study, 6 patients who underwent subtalar arthroscopy from September 2008 to January 2009 in the authors' institution were included. The American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot scores were recorded preoperatively and at 3 and 6 months postoperatively...
August 2010: Foot & Ankle Specialist
Joël Damiano, Maurice Bouysset
The hindfoot is the part of the foot which is proximal to the midtarsal joint. The obvious causes of pain are not considered (post-traumatic etiologies, sprains and fractures but also cutaneous lesions). The main etiologies on the subject are successively exposed by following the localization of the pain. Diffuse pains (ankle arthritis tarsal osteoarthritis, algodystrophy, calcaneo-navicular synostosis but also bone diseases like stress fractures, Paget disease or tumors). Plantar talalgia (Sever's disease, plantar fasciitis and entrapment neuropathies such as (esions of the medial calcaneal nerve, of the first branch of the plantar lateral nerve, medial plantar nerve and lateral plantar nerve)...
March 20, 2010: La Revue du Praticien
Dorothee Rita Fischer, Gerardo J Maquieira, Norman Espinosa, Marco Zanetti, Rolf Hesselmann, Anass Johayem, Thomas F Hany, Gustav K von Schulthess, Klaus Strobel
PURPOSE: To evaluate the therapeutic impact of [(18)F]fluoride positron-emission tomography/computed tomography ([(18)F]fluoride PET/CT) imaging on patients with unclear foot pain. METHODS: Twenty-eight patients were prospectively included in this study. Therapeutic management was defined by two experienced dedicated foot surgeons before and after [(18)F]fluoride PET/CT imaging. Twenty-six patients underwent cross-sectional imaging [CT, magnetic resonance (MR)] prior to PET/CT...
October 2010: Skeletal Radiology
V B Klausner, M E McKeigue
Correctly diagnosing sinus tarsi syndrome is important because it is frequently misdiagnosed as chronic ankle sprain and, if improperly treated, will result in chronic pain and disability. A detailed history and physical examination will usually confirm the diagnosis. Clues include pain and instability when walking on uneven surfaces, and resolution of pain when the affected foot is at rest. Conservative treatment of sinus tarsi syndrome is usually considered first and consists of consecutive corticosteroid injections into the tarsal canal, along with physical therapy and correction of foot biomechanics...
May 2000: Physician and Sportsmedicine
Jae Hoon Ahn, Sang Ki Lee, Kap Jung Kim, Yong In Kim, Won Sik Choy
Arthroscopic procedures of subtalar pathology has shown promising results in previous studies, but the number of patients was relatively small. This article describes our experience and evaluated the clinical outcomes of 115 patients treated with subtalar arthroscopy for a range of subtalar pathologies. One hundred fifteen patients were followed up for >1 year after undergoing a subtalar arthroscopic procedure. Mean patient age was 40 years, and mean follow-up period was 42 months. Preoperative diagnosis included sinus tarsi syndrome in 31 patients, degenerative arthritis in 30, calcaneal fracture in 15, arthrofibrosis in 10, os trigonum syndrome in 8, talar fracture in 5, talocalcaneal coalition in 7, and calcaneal tumor in 1...
December 2009: Orthopedics
Keun Bae Lee, Long Bin Bai, Eun Kyoo Song, Sung Taek Jung, Il Kyu Kong
PURPOSE: The purposes of this study were to identify the pathologic findings of sinus tarsi syndrome (STS) by subtalar arthroscopy and to evaluate the results of arthroscopic treatments in 33 consecutive cases. METHODS: A retrospective review was performed in 31 consecutive patients (33 cases) who underwent subtalar arthroscopic treatment for STS. The mean follow-up duration was 24 months (range, 18 to 36 months). Patients were evaluated by use of arthroscopic findings (recorded on videotapes and photographs) and clinical outcomes, which included visual analog scale and American Orthopaedic Foot and Ankle Society ankle-hindfoot scores...
October 2008: Arthroscopy: the Journal of Arthroscopic & related Surgery
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