Ankle

Question 1

The tarsal tunnel is a channel between

Answer 1

• medial malleolus
• talus
• calcaneus
• flexor retinaculum

Question 2

What are key history findings in tarsal tunnel syndrome

Answer 2

• parathesia or burning sensation
• prolonged walking or standing increases pain
• dysesthesia
• weakness of muscles

Question 3

An abnormal and unpleasant sensation arising during the night and can disturb sleep

Answer 3

Dysesthesia

Question 4

Observation of tarsal tunnel syndrome includes

Answer 4

• muscle atrophy of abductor hallucis muscle
• arch stability
• position of talus & calcanous

Question 5

Gait analysis of tarsal tunnel syndrome includes assessing for abnormalities such as

Answer 5

• excessive pronation & supination
• excessive inversion & eversion
• toe out
• antalgic gait, etc

Question 6

Sensory testing of tarsal tunnel syndrome includes, and deficits in these tests will mean a deficit in the distribution of what nerve

Answer 6

• light touch & 2 point discrimination in lower extremity
• posterior tibial nerve

Question 7

In tarsal tunnel syndrome, It is usually tender to palpate in between which areas and it is painful in what percentage of people affected

Answer 7

Medial malleolus & Achilles tendon / 60-100%

Question 8

Percussion of the tarsal tunnel results in distal radiation of parathesia, it is elicited in 50% of those affected. What test is this

Answer 8

Tinel’s Sign

Question 9

Place the foot in full dorsiflexion and eversion and hold for 5-10 seconds, that results elicit the patients symptoms of tarsal tunnel syndrome. What is this test

Answer 9

Dorsiflexion and Eversion test