Acute Posterior Tarsal Tunnel Syndrome Caused by Gouty Tophus

Gouty tophus of the tarsal tunnel is a rare cause of posterior tarsal tunnel syndrome. We present a case of acute posterior tarsal tunnel syndrome due to gouty tophus that required early tarsal tunnel release in order to avoid irreversible nerve damage. The presence of background neuropathy resulted in a less favorable result than expected. Levels of Evidence: Therapeutic, Level V: Case report

[1]  L. Bui-Mansfield,et al.  Magnetic Resonance Diagnosis of Tarsal Tunnel Syndrome Due to Flexor Digitorum Accessorius Longus and Peroneocalcaneus Internus Muscles , 2010, Journal of computer assisted tomography.

[2]  T. Lui,et al.  Neurilemmoma of the first branch of the lateral plantar nerve causing tarsal tunnel syndrome. , 2009, Foot & ankle specialist.

[3]  Gedge D. Rosson,et al.  Tibial Nerve Decompression in Patients with Tarsal Tunnel Syndrome: Pressures in the Tarsal, Medial Plantar, and Lateral Plantar Tunnels , 2009, Plastic and reconstructive surgery.

[4]  Sejung Park,et al.  Short-Term Operative Outcome of Tarsal Tunnel Syndrome Due to Benign Space-Occupying Lesions , 2009, Foot & ankle international.

[5]  K. Scheglmann,et al.  Posterior tarsal tunnel syndrome: diagnosis and treatment. , 2008, Deutsches Arzteblatt international.

[6]  I. Chang.  Surgical versus Pharmacologic Treatment of Intraspinal Gout , 2005, Clinical orthopaedics and related research.

[7]  G. Sammarco,et al.  Outcome of Surgical Treatment of Tarsal Tunnel Syndrome , 2003, Foot & ankle international.

[8]  T. Daniels,et al.  Tarsal Tunnel Syndrome: A Review of the Literature , 1999, Foot & ankle international.

[9]  K. Irie,et al.  Tarsal tunnel syndrome caused by tophaceous gout a case report. , 1998, Journal of clinical rheumatology.

[10]  N. Allen,et al.  Gouty tophus causing tarsal tunnel syndrome. , 1996, Journal of clinical rheumatology.

[11]  C. Pai,et al.  Acute carpal tunnel syndrome caused by tophaceous gout. , 1993, The Journal of hand surgery.

[12]  S. Akizuki,et al.  Entrapment Neuropathy Caused by Tophaceous Gout , 1984 .

[13]  P. Delaney.  Gouty neuropathy. , 1983, Archives of neurology.