Magnetic resonance imaging in the diagnosis of tarsal tunnel syndrome case report

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      In a patient suspected of having tarsal tunnel syndrome by clinical and electrophysiological exam, magnetic resonance imaging (MRI) was performed in an attempt to define the cause. Transverse and sagittal T1 and T2 images were obtained which demonstrated tubular T2 enhancing masses felt to be abnormally dilated and tortuous veins with slow flow. The nerve was displaced posteriorly from its usual position. Surgery confirmed these findings and the retinaculum was released with good results. In certain cases, therefore, MRI can be of help in the tarsal tunnel although its overall role has yet to be defined.
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