Zusammenfassung
Der N. tibialis weist in seinem distalen Verlauf am Fuß zwei typische Kompressionsstellen auf, nämlich das seltenere, zu häufig diagnostizierte Tarsaltunnelsyndrom, das in seiner idiopathischen Form zu den umstritteneren Kompressionssyndromen zählt, und die häufiger übersehene und im Sinne von „Spreizfußbeschwerden“ fehlgedeutete Morton’sche Metatarsalgie (oder Morton-Neurom). Hochauflösende Sonografie und MRT finden zunehmend Eingang in die Diagnostik des Krankheitsbildes, wobei die Sonografie die bevorzugte Methode zu sein scheint. Die operative Exzision des Morton-Neuroms ist die Therapie der Wahl. Wir bevorzugen den dorsalen Zugang, es gibt jedoch auch Befürworter der plantaren Inzision.
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Assmus, H., Antoniadis, G. (2023). Kompressionssyndrome des N. tibialis. In: Assmus, H., Antoniadis, G. (eds) Nervenkompressionssyndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66107-9_11
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