กลุ่มอาการเส้นประสาทถูกบีบรัดบริเวณข้อเท้าสองตำแหน่ง

บทคัดย่อ

A 50 year-old female patient presented with pain and numbness over medial side of her right big toe along the distribution of pesterior tibial nerve Plain X-ray exammination appeared normal. MRl scan revealed small fluid Iocule medial to talo-calcaneal joint. EMG, NCV examination confirmed the diagnosis of posterior tibial nerve entrapment.

Surgical finding revealed compression of the nerve at 2 locations one by ganglion of the flexor-digitorum longus tender on just proximal to laciniate ligament and another by ganglion of talo-calcaneal joint beneath laciniate ligament in tarsal tunnels the diagnosis was tarsal tunnel syndrome double crush phenomenon.