ArticleRevista brasileira de ortopedia2026
[Functional Outcomes after Surgical Decompression for Tarsal Tunnel Syndrome].
Article in Revista brasileira de ortopedia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To evaluate the functional outcomes of surgical decompression for tarsal tunnel syndrome (TTS) and to explore the clinical relevance of diagnostic tests such as electromyography (EMG), magnetic resonance imaging (MRI), and ultrasound. Methods: We performed a retrospective single-center study of 15 patients with clinically diagnosed TTS who underwent open decompression (2015-2022). All had failed conservative management and completed ≥ 12 months of follow-up. Preoperative evaluation combined clinical exams with at least one confirmatory test (EMG, MRI, or ultrasound). Outcomes included the American Orthopaedic Foot and Ankle Society's (AOFAS) ankle-hindfoot score (primary), Visual Analogue Scale (VAS) pain, minimal clinically important difference (MCID), and complications. The analysis used paired Results: The mean age was 50.4 ± 15.6 years; and 53.3% of the patients were female. Symptom duration averaged 14.7 ± 7.2 months. The EMG scans were positive in 66.7%, MRI in 60.0%, and ultrasound in 53.3%. The AOFAS score improved from 36.6 ± 7.1 to 78.1 ± 19.9 at 12 months ( Conclusion: Surgical decompression is a safe and effective treatment for TTS, providing significant pain relief and functional improvement with low complication rates. Early intervention shows a trend toward better outcomes, warranting further prospective studies.
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