The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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A Ganglion Cyst around the Tarsal Tunnel Detected by Ultrasonography and MRI -A case report-

초음파와 자기공명영상으로 발견된 족근관 주위 결절성 낭종 -증례보고-

  • Park, Soo Young (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Nahm, Francis Sahngun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • An, Sang Bum (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Kim, Yong Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 박수영 (서울대학교 의과대학 마취통증의학교실) ;
  • 남상건 (서울대학교 의과대학 마취통증의학교실) ;
  • 안상범 (서울대학교 의과대학 마취통증의학교실) ;
  • 김용철 (서울대학교 의과대학 마취통증의학교실) ;
  • 이상철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2009.01.11
  • Accepted : 2009.01.14
  • Published : 2009.04.01
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Abstract

Tarsal tunnel syndrome is often misdiagnosed it shares clinical features with other diseases of the lower extremity such as lumbar radiculopathy and arthritis. Failure to diagnose and treat neuropathies effectively can cause permanent neuropathic pain. We report a case of a ganglion cyst detected early using ultrasonography and MRI in a 51-year-old man who complained of rapidly aggravating pain, numbness and paresthesia on the great toe and the first metatarsal area in the sole, symptoms that resembled tarsal tunnel syndrome. Surgical treatment could be performed early with no permanent sequelae. We could also avoid repeated steroid injections or prescription medications.

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References

  1. Waldman SD: Posterior tarsal tunnel syndrome. In: Atlas of Common Pain Syndromes. 2nd ed. Philadelphia, Saunders Elsevier. 2007, pp 337-9
  2. Ferraresi S, Leidi P, Leidi M, Ubiali E, Bortolotti G, Cassinari V: Tarsal tunnel syndrome. Report of a case and review of clinical and surgical aspects. Ital J Neurol Sci 1992; 13: 47-51 https://doi.org/10.1007/BF02222888
  3. Taguchi Y, Nosaka K, Yasuda K, Teramoto K, Mano M, Yamamoto S: The tarsal tunnel syndrome: report of two cases of unusual cause. Clin Orthop Relat Res 1987; 217: 247-52
  4. Brown RJ: Tarsal tunnel syndrome due to a ganglion: a case report. Ulster Med J 1982; 51: 127-9
  5. Lam SJ: Tarsal tunnel syndrome. J Bone Joint Surg Br 1967;49: 87-92
  6. Kirby EJ, Shereff MJ, Lewis MM: Soft-tissue tumors and tumor-like lesions of the foot. An analysis of eighty-three cases. J Bone Joint Surg Am 1989; 71: 621-6 https://doi.org/10.2106/00004623-198971040-00018
  7. Bracilovic A, Nihal A, Houston VL, Beattie AC, Rosenberg ZS, Trepman E: Effect of foot and ankle position on tarsal tunnel compartment volume. Foot Ankle Int 2006; 27:431-7 https://doi.org/10.1177/107110070602700608
  8. Takakura Y, Kumai T, Takaoka T, Tamai S: Tarsal tunnel syndrome caused by coalition associated with a ganglion. J Bone Joint Surg Br 1998; 80: 130-3 https://doi.org/10.1302/0301-620X.80B1.8224
  9. Chhem RK, Beauregard G, Schmutz GR, Benko AJ: Ultrasonography of the ankle and the hindfoot. Can Assoc Radiol J 1993; 44: 337-41