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

Jarosław Andrychowski; Dorota Koziel; Beata Szczepanowska-Wolowiec; Krzysztof Dzięgiel

doi:10.5114/ms.2020.99555

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

Collegium Medicum, Jan Kochanowski University, Kielce, Poland Head of the Department: Prof. Marianna Janion

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

DOI: https://doi.org/10.5114/ms.2020.99555

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.

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

Jarosław Andrychowski

¹

,

Dorota Koziel

¹

,

Beata Szczepanowska-Wolowiec

¹

,

Krzysztof Dzięgiel

²