Skip to main content
Log in

Anterior tarsal tunnel syndrome: a misunderstood and a misleading entrapment neuropathy

  • Original Article
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

Anterior tarsal tunnel syndrome (ATTS) is a rare entrapment neuropathy of the deep peroneal nerve beneath the extensor retinaculum on the top of the ankle. ATTS is often asymptomatic or olygosymptomatic. There are few reports describing the ATTS. We describe the clinical and electrophysiological features of 85 patients with unilateral or bilateral ATTS prospectively collected between January 2000 and December 2010 in our laboratory of Clinical Neurophysiology. This entrapment neuropathy remains poorly diagnosed and it might be misleading when performing a diagnostic EMG-ENG examination for suspected polyneuropathy or lumbosacral radiculopathy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Andresen BL, Wertsch JJ, Stewart WA (1992) Anterior tarsal tunnel syndrome. Arch Phys Med Rehabil 73:1112–1117

    CAS  PubMed  Google Scholar 

  2. Gessini L, Jandolo B, Pietrangeli A (1984) The anterior tarsal tunnel syndrome. Report of four cases. J Bone Joint Surg 66(5):786–787

    CAS  PubMed  Google Scholar 

  3. Kopell HP, Thompson WAL (1963) Peripheral entrapment neuropathies. Williams & Wilkins, Baltimore

    Google Scholar 

  4. Krause KH, Witt T, Ross A (1977) The anterior tarsal tunnel syndrome. J Neurol 217:67–74

    Article  CAS  PubMed  Google Scholar 

  5. Oh SJ (2007) Neuropathies of the foot. Clin Neurophysiol 118:954–980

    Article  PubMed  Google Scholar 

  6. Asli Aktyan Ikiz Z, Ucerler H, Uygar M (2007) Dimensions of the anterior tarsal tunnel and features of the deep peroneal nerve in relation to clinical application. Surg Radiol Anat 29:527–530

    Article  Google Scholar 

  7. Lawrence SJ, Botte MJ (1995) The deep peroneal nerve in the foot and ankle: an anatomic study. Foot Ankle Int 16:724–728

    Article  CAS  PubMed  Google Scholar 

  8. Zongzhao L, Jiansheng Z, Li Z (1991) Anterior tarsal tunnel syndrome. J Bone Joint Surg (Br) 73-B:470–473

    Google Scholar 

  9. Abdul-latif MSM, Clarke S (2001) Anterior tarsal tunnel syndrome in post partum period. Int J Obstr Anesthesia 10:75–77

    Article  CAS  Google Scholar 

  10. Akyüz G, Us Ö, Türan B, Kayhan Ö, Canbulat N, TomiYilmar I (2000) Anterior tarsal tunnel syndrome. Electromyogr Clin Neurophysiol 40:123–128

    PubMed  Google Scholar 

  11. DiDomenico LA, Masternick EB (2006) Anterior tarsal tunnel syndrome. Clin Podiatr Med Surg 23:611–620

    Article  PubMed  Google Scholar 

  12. Kennedy JG, Baxter DE (2008) Nerve disorders in Dancers. Clin Sports Med 27:329–334

    Article  PubMed  Google Scholar 

  13. Kimura J (2001) Electrodiagnosis in diseases of nerve and muscle: principles and practice, 3rd edn. Oxford University Press, New York

    Google Scholar 

  14. Preston DC, Shapiro BE (2005) Electromyography and neuromuscular disorders. Clinical-electrophysiologic correlations, 2nd edn. Elsevier, Philadelphia

    Google Scholar 

  15. Logullo F, Di Bella P, Danni MC, Pagelli P, Angeleri F (1991) Intraobserver intertrial reliability in motor nerve conduction studies. Riv It EEG Neurofisiol Clin 14:175–182

    Google Scholar 

  16. Azouvi P, Bouche P, Cathala HP (1986) Accessory deep peroneal nerve. Electrophysiological study. Rev EEG Neurophysiol Clin 16:87–91

    CAS  Google Scholar 

  17. Murad H, Neal P, Katirji B (1999) Total innervations of the extensor digitorum brevis by the accessory deep peroneal nerve. Eur J Neurol 6:371–373

    Article  CAS  PubMed  Google Scholar 

  18. Ubogu EE (2005) Complete innervation of extensor digitorum brevis by accessory peroneal nerve. Neuromuscul Disord 15:562–564

    Article  PubMed  Google Scholar 

  19. Marinacci AA (1968) Medial and anterior tarsal tunnel syndrome. Electromyography 8:123–124

    CAS  PubMed  Google Scholar 

  20. Dumitru D, Diaz CA, King JC (2001) Prevalence of denervation in paraspinal and foot intrinsic musculature. Am J Phys Med Rehabil 80:482–490

    Article  CAS  PubMed  Google Scholar 

  21. Gatens PF, Saeed MA (1982) Electromyographic findings in the intrinsic muscles of normal feet. Arch Phys Med Rehabil 63:317–318

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Francesco Logullo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Logullo, F., Ganino, C., Lupidi, F. et al. Anterior tarsal tunnel syndrome: a misunderstood and a misleading entrapment neuropathy. Neurol Sci 35, 773–775 (2014). https://doi.org/10.1007/s10072-013-1601-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-013-1601-8

Keywords

Navigation