Foot and Ankle Surgery

Sinus Tarsi Syndrome

sinus tarsi radiograph

sinus tarsi disease

Sinus tarsi is tunnel shaped space which is located between talus and calcaneus bones.

sinus tarsi radiograph

What are the clinical signs of sinus tarsi disease?

Pain is felt in the area located in front of lateral malleolus. Pain may be increased with walking on uneven and rough surfaces. Inversion and eversion motion of the foot may produce pain.

What causes the sinus tarsi syndrome?

Sinus tarsi syndrome usually occur following foot and ankle sprain and prolonged forced pronation. Continous pain is the most prominent finding among the patients with sinus tarsi sydrome.

How is the diagnosis of Sinus Tarsi Syndrome made?

Generally, diagnosis can be easily made by physical exam and clinical findings. MR and other tests are usually required to rule out other similar and associated diseases. I usually inject local anesthesic medicine into the sinus tarsi area to confirm the diagnosis.

Treatment of Sinus Tarsi Syndrome

Rest and antiemflammatory medicine are helpful in the early stages of sinus tarsi syndrome. Custom made shoe insolesare helpful by supporting the foot in patients with flatfoot and valgus foot. Local injections are also used in the treatment. If. The symptoms persist despite all conservative measures, then surgery should be the next step. Surgery can be arhtroscopic or open surgery. Arthroscopic surgery provides quicker healing period.

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About the author

Prof.Dr. Seref Aktas