Journal of Foot and Ankle Research
Calcaneal osteomyelitis presenting with acute tarsal tunnel syndrome: a case report
Calcaneal osteomyelitis presenting with acute tarsal tunnel syndrome: a case report
Davinder PS Baghla , Sajid Shariff and Raman Dega
Journal of Medical Case Reports 2010, 4:66doi:10.1186/1752-1947-4-66 Published: 23 February 2010
Abstract (provisional)
Introduction Acute tarsal tunnel syndrome is rare. We describe the only reported case of acute posterior tibial nerve compression, arising as a result of adjacent haematogenous pyogenic calcaneal osteomyelitis.
Case presentation A previously fit 38-year-old Caucasian lady developed symptoms of acute tarsal tunnel syndrome in her right foot over a 6 day period. There was no antecedent trauma or systemic symptoms. MRI and bone scan imaging, followed by surgical decompression and bone biopsy confirmed a diagnosis of Staphylococcus Aureus calcaneal osteomyelitis. Her pain and paraesthesia disappeared post operatively, whereas her inflammatory markers normalised whilst on a 12 week course of antibiotics. At 4 years follow up she remains asymptomatic without recurrence.
Conclusion This case is not just unique in describing osteomyelitis as a cause of tarsal tunnel syndrome, haematogenous calcaneal osteomyelitis in itself is a rare pathology. We recommend considering infection as a differential diagnosis for acute tarsal tunnel syndrome.
Posted by Hylton Menz at 01:29 Comments (0)
Charcot foot reconstruction with combined internal and external fixation: case report
Charcot foot reconstruction with combined internal and external fixation: case report
Journal of Orthopaedic Surgery and Research 2010, 5:7doi:10.1186/1749-799X-5-7
Abstract (provisional)
Charcot neuroarthropathy is a destructive and often-limb threatening process that can affect patients with peripheral neuropathy of any etiology. Early recognition and appropriate management is crucial to prevention of catastrophic outcomes. Delayed diagnosis and subsequent pedal collapse often preclude successful conservative management of these deformities and necessitate surgical intervention for limb salvage. We review the current literature on surgical reconstruction of Charcot neuroarthropahty and present a case report of foot reconstruction with combined internal and external fixation methods.
Posted by Hylton Menz at 00:28 Comments (0)