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Partial anterior tunnel syndrome: a retrospective analysis of ultrasound findings in four surgically proven cases

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Abstract

We present the cases of four patients (two men and two women, mean age of 48.5 years) with surgically confirmed partial anterior tarsal syndrome, diagnosed by ultrasound. All patients reported pain in the dorsal aspect of the forefoot radiating to the first intermetatarsal space. Ultrasound showed compression of the medial branch of the deep fibular nerve by the extensor hallucis brevis tendon at the level of the Lisfranc joint, associated with a hypoechoic neuroma. The ultrasound allowed a correct diagnosis to be obtained, which was not evident from clinical examination or by standard radiographs (four patients) or MRI (three patients). Surgery confirmed the sonographic findings, and all patients showed complete recovery.

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Authors and Affiliations

  1. CIM SA, Cabinet Imagerie Médicale, 40a route de Malagnou, 1204, Geneva, Switzerland

    Stefano Bianchi

  2. Geneva, Switzerland

    Laure Droz

  3. APHM, Hôpital Sainte Marguerite, 270 Boulevard de Sainte Marguerite, 13009, Marseille, France

    Thomas Le Corroller

  4. ISM, UMR 7287 CNRS et Aix-Marseille Université, CP 910, Avenue de Luminy, 13288, Marseille Cedex 09, France

    Thomas Le Corroller

  5. Clinique des Grangettes, Ch. des Grangettes 7, 1224, Chêne-Bougeries, Switzerland

    Marino Delmi

Authors
  1. Stefano Bianchi
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  2. Laure Droz
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  3. Thomas Le Corroller
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  4. Marino Delmi
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Correspondence to Stefano Bianchi.

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Bianchi, S., Droz, L., Le Corroller, T. et al. Partial anterior tunnel syndrome: a retrospective analysis of ultrasound findings in four surgically proven cases. Skeletal Radiol 48, 807–812 (2019). https://doi.org/10.1007/s00256-018-3056-8

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  • DOI: https://doi.org/10.1007/s00256-018-3056-8

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