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Anterior Tarsal Tunnel Space

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We're focusing on the anterior extensor compartment.

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Let's talk about the anterior tarsal tunnel space.

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Some of you have watched a few vignettes on the

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tendons, but the space is formed deep boundary by

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the talus and further inferiorly by the navicular.

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So here's the navicular.

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The superficial boundary is going to be

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formed by the extensor retinaculum, which

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you might have heard about ad nauseam.

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So now let's go up a little bit higher

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and we find the vascular bundle.

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And then just lateral to the vascular

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bundle, we're going to find the nerve bundle.

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And the nerve bundle may stay as a single

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bundle, but it often divides at or two to

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three centimeters below the joint space.

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So there we actually see it

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dividing into its two bundles.

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The lateral bundle we sort of

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lose because of the curvature.

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Maybe we see a little bit of its free edge there.

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And the lateral bundle provides nerve supply

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to the extensor digitorum longus and the

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extensor hallucis, and also to the sinus tarsi.

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And a few other structures.

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It'll also give off some superficial branches.

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The medial bundle will head off medially,

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so let's go down and see if we can track it.

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There it is right there.

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There it is right there.

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And it's gonna continue to head medially

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and sit in front of the navicular headed

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towards the location of the great toe where

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it provides sensation between the first and

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second great toe and the dorsum of the foot.

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When this nerve is irritated, sometimes

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that's confused with a spine problem and

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the patient ends up with a lumbar MRI.

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That would be the deep portion or medial

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portion of the deep peroneal nerve that provides

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sensation between the first and second digits.

Report

Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Musculoskeletal (MSK)

MSK

MRI

Foot & Ankle

Acquired/Developmental

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