title: [Tarsal tunnel syndrome in athletes].
abstract: Pain in the hindfoot due to overuse has many causes. One uncommon cause is the entrapment of the posterior tibial nerve: the tarsal tunnel syndrome. Pain when palpating posterior the medial malleolus and pain in the abductor hallucis muscle are typical symptoms. Application of a local anaesthetic leads to immediate pain relief. The distal motoric latency is prolonged, but not in all cases. First of all, treatment consists of local and oral antiphlogistics, orthopaedic arch-support and physiotherapy. In case of therapy-resistant pain over more than three months period, surgical decompression of the tibial nerve should be performed. In the last three years we treated 18 patients with a tarsal tunnel syndrome: 6 of 8 patients were symptom-free after surgical intervention, whereas only 3 of 10 were symptom-free after conservative treatment.
authors.affiliation: Klinik und Poliklinik für Sportverletzungen, Technischen Universität München.
authors.forename: K A
authors.initials: KA
authors.lastname: Riel
authors.forename: P
authors.initials: P
authors.lastname: Bernett
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D013641:Tarsal Tunnel Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Das Tarsaltunnelsyndrom beim Sportler.