eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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3/2020
vol. 36
 
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abstract:
Case report

The necessity to use microsurgical methods and intraoperative monitoring during pathology in tarsal tunnel. Technical report

Jarosław Andrychowski
1
,
Dorota Koziel
1
,
Beata Szczepanowska-Wolowiec
1
,
Krzysztof Dzięgiel
2

1.
Collegium Medicum, Jan Kochanowski University, Kielce, Poland Head of the Department: Prof. Marianna Janion
2.
Department of Neurosurgery, University of Warmia and Mazury, Olsztyn, Poland Head of the Department: Prof. Wojciech Maksymowicz
Medical Studies/Studia Medyczne 2020; 36 (3): 235–238
Online publish date: 2020/09/30
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A Schwannoma tumour located in the posterior tibial nerve in the tarsal tunnel is extremely rare [1–10], and hence surgery of this pathology also occurs rarely. Schwannoma within the foot, causing pain syndrome, requires differentiation from Morton’s metatarsalgia [11]. There are several such cases of surgeries during the 20-year period described in the literature, but intraoperative monitoring techniques and microsurgery are still only an option. Due to the anatomical relationship, nerve vascular supply [12–15] and muscle functions innervated by the tibial nerve, related to the support, foot arch, and effect on the movement pattern [16, 17]. The surgical technique should use methods of microsurgical dissection and intraoperative neurophysiological monitoring in order to ensure safe surgery.
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