ABSTRACT
We present two case reports of peripheral nerve tumors (schwannoma and neurofibroma) that presented as tarsal tunnel syndrome for many years. There has never been a report of multiple neurofibroma of the posterior tibial nerve presenting as a tarsal tunnel syndrome. Both patients were treated surgically with good outcomes.
Subject(s)
Neurilemmoma/diagnosis , Neurofibroma/diagnosis , Peripheral Nervous System Neoplasms/surgery , Tarsal Tunnel Syndrome/diagnosis , Tibial Nerve/pathology , Biopsy, Needle , Diagnosis, Differential , Female , Humans , Immunohistochemistry , Magnetic Resonance Imaging/methods , Male , Middle Aged , Neurilemmoma/diagnostic imaging , Neurilemmoma/pathology , Neurilemmoma/surgery , Neurofibroma/diagnostic imaging , Neurofibroma/pathology , Neurofibroma/surgery , Peripheral Nervous System Neoplasms/diagnostic imaging , Peripheral Nervous System Neoplasms/pathology , Tarsal Tunnel Syndrome/diagnostic imaging , Tarsal Tunnel Syndrome/pathology , Tibial Nerve/diagnostic imaging , Tibial Nerve/surgery , Young AdultABSTRACT
Tibialis posterior tendon dislocation is a rarely described entity that is easily missed, resulting in delayed diagnosis and treatment. A review of the English published data on the topic showed inconsistency in the reporting of injuries and surgical management techniques, leading us to describe a novel classification system to guide treatment and future reporting. We also describe a case of tibialis posterior tendon dislocation in a professional volleyball player and our surgical technique for correction, including retromalleolar groove deepening.
Subject(s)
Ankle Injuries/diagnosis , Tendon Injuries/classification , Tendon Injuries/diagnosis , Ankle Injuries/surgery , Arthralgia/etiology , Edema/etiology , Humans , Joint Instability/etiology , Orthopedic Procedures , Tendon Injuries/surgeryABSTRACT
We present a clinical case of a patient who sustained a gunshot wounds to his right buttock (entrance), left thigh (exit), and right thumb, as well as intestinal injuries without history of abdominal trauma. Initially the abdominal injuries were not recognised and the patient did not mention an injury to the abdomen. For this reason he was unfortunately admitted to the orthopaedic ward first for further treatment of his thumb injury.