title: Posterior tibial vein aneurysm presenting as tarsal tunnel syndrome.
abstract: Tarsal tunnel syndrome is a compressive neuropathy of the posterior tibial nerve within the tarsal tunnel. Its etiology varies, including space occupying lesions, trauma, inflammation, anatomic deformity, iatrogenic injury, and idiopathic and systemic causes. Herein, we describe a 46-year-old man who presented with left foot pain. Work up revealed a venous aneurysm impinging on the posterior tibial nerve. Following resection of the aneurysm and lysis of the nerve, his symptoms were alleviated. Review of the literature reveals an association between venous disease and tarsal tunnel syndrome; however, this report represents the first case of venous aneurysm causing symptomatic compression of the nerve.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA michealayad@gmail.com.
authors.forename: Micheal
authors.initials: M
authors.lastname: Ayad
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Anumeha
authors.initials: A
authors.lastname: Whisenhunt
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: EnYaw
authors.initials: E
authors.lastname: Hong
authors.affiliation: Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Josh
authors.initials: J
authors.lastname: Heller
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Salvatore
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Babak
authors.initials: B
authors.lastname: Abai
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: DiMuzio
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005528:Foot / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011152:Popliteal Vein / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D013641:Tarsal Tunnel Syndrome / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013979:Tibial Nerve / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
keywords: Veins; aneurysm; tarsal tunnel syndrome