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SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X

SA orthop. j. vol.7 n.4 Centurion Oct./Dec. 2008




Is a positive nerve conduction study a predictor of a satisfactory result after tarsal tunnel release?



NP SaragasI; G O'BrienII

IMBBCh(Wits), FCS(SA)Ortho, MMed Ortho Surg)(Wits)
MBBCh, BSc, FCS(SA)Ortho. Netcare Linksfield Orthopaedic Sports & Rehabilitation Centre (Clinic), Johannesburg and Orthopaedic Department, University of the Witwatersrand, Johannesburg, South Africa





We reviewed 28 patients who had had tarsal tunnel syndrome diagnosed clinically and with the aid of nerve conduction studies over the last five years. The aim was to establish if a positive nerve conduction study was an indicator of a good postoperative result. We found that in general less than 50% of all patients were satisfied with the procedure and a positive nerve conduction study did not predict a good post-surgical outcome. We advise that surgery for tarsal tunnel syndrome even with positive nerve conduction studies be undertaken as a last resort, and patients be informed of the potential of a poor outcome after surgery.



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1. Kopell HP, Thompson WAL. Peripheral entrapment neuropathies of the lower extremity. N Eng JMed 1960;262:56-60.         [ Links ]

2. Jerosch J, Schunck J, Khoja A. Results of surgical treatment of tarsal tunnel syndrome. Foot and Ankle Surgery 2006;12(4):205-8.         [ Links ]

3. Coughlin MJ, Mann RA, Saltzman CJ. Surgery of Foot and Ankle 8thedition. Philadelphia: Mosby Elsevier; 2007. Chapter 11:637-59.         [ Links ]

4. Gmino, WR. Tarsal tunnel syndrome review of the literature. Foot Ankle 1990;11:47-52.         [ Links ]

5. Mann RA. Tarsal tunnel syndrome. Orthop Clinics North Am 1974;5:109- 15.         [ Links ]

6. Van der Jagt DR, Tiemessen CH, Stein RJL, Webster PI. Post traumatic tarsal tunnel syndrome. South Africa Bone and Joint Surgery 1999;IX(1):21-3.         [ Links ]



Reprint requests:
Dr G O'Brien
PO Box 1153
Highlands North
2037 Johannesburg, South Africa
Tel: +27 11 485-1974/5
Fax: +27 11 640-5313



This article was not submitted to an ethical committee for approval. The content of this article is the sole work of the authors. No benefits of any form have been derived from any commercial party related directly or indirectly to the subject of this article.

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