International audienceThe effect of the mean effective stress on the elastic properties of unbound granular materials is a well-known experimental result. Power laws between the mean effective stress and the shear modulus G vhmax of three natural sands are established for isotropic stress paths using bender elements. Triaxial test results reveal that such power laws are also suitable for contracting deviatoric stress paths whereas it is no longer the case for dilating deviatoric stress paths. Fabric changes during shearing are therefore highlighted. These observations seem to be a typical feature of the behavior of granular materials

Matthew Cichero

Simon C McSweeney

Journal of Foot and Ankle Research

MUCC (Crossref)

Tarsal Tunnel Syndrome – a narrative review of the literature

Dano, Christophe

Hicher, Pierre-Yves

HAL-Univ-Nantes

Evolution of elastic shear modulus in granular materials along isotropic and deviatoric stress paths

Crossref

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POSTER PRESENTATION Open Access
Tarsal Tunnel Syndrome – a narrative review of
the literature
Simon C McSweeney1*, Matthew Cichero2
From Australasian Podiatry Conference 2015
Queensland, Australia. 6-8 May 2015
Background
There are many clinical intervention strategies for treating
tarsal tunnel syndrome. The role of conservative versus
surgical interventions at various stages of the disease pro-
cess remains unclear, and there is a need for a structured,
step-wise approach in treating patients with this syndrome
based on derived empirical evidence. This narrative review
attempts to analyse the literature to date, for the long-
term purpose of developing a clinical treatment algorithm.
Process
The literature searches that have been incorporated in
compiling a comprehensive review of this condition have
included: the Cochrane Neuromuscular Group’s Specia-
lised Register, Central Register of Controlled trials and
Methodology Register (Cochrane Library 2013), the
databases of EMBASE, AMED, MEDLINE, CINAHL,
Physiotherapy evidence database (PEDRO), Biomed
Central, Science Direct and Trip Database (1972 to the
present). Authors and experts within the field of lower-
limb orthopaedics were contacted to discuss applicable
data. Subject-specific criteria searches utilizing the follow-
ing key terms were performed across all databases:
tarsal tunnel syndrome, tibial neuralgia, compression
neuropathy syndromes, tibial nerve impingement, tarsal
tunnel neuropathy, entrapment tibial nerve, posterior
tibial neuropathy.
Findings
This literature review has appraised the clinical signifi-
cance of tarsal tunnel syndrome, whilst assessing varied
management interventions (non-surgical and surgical)
for the treatment of this condition in both adults and
children. According to our review, there is limited high-
level robust evidence to guide and refine the clinical
management of tarsal tunnel syndrome. Requirements
for small-scaled randomized controlled trials in groups
with homogenous etiology are needed to analyze the
effectiveness of specific treatment modalities.
Conclusions
It is necessary that further research endeavours be pursued
for the clinical understanding, assessment and treatment
of Tarsal tunnel syndrome. Accordingly, a structured
approach to managing patients who have been correctly
diagnosed with this condition should be formulated on the
basis of empirical evidence where possible.
Authors’ details
1Institute of Health Biomedical Innovation (IHBI), Queensland University of
Technology, Brisbane, QLD, 4059, Australia.. 2Southwest Podiatric Surgical
Services, Great Western Hospitals NHS Foundation Trust, Swindon, SN3 6BB,
United Kingdom.
Published: 22 September 2015
doi:10.1186/1757-1146-8-S2-P9
Cite this article as: McSweeney and Cichero: Tarsal Tunnel Syndrome –
a narrative review of the literature. Journal of Foot and Ankle Research
2015 8(Suppl 2):P9.
* Correspondence: sc.mcsweeney@hdr.qut.edu.au
1Institute of Health Biomedical Innovation (IHBI), Queensland University of
Technology, Brisbane, QLD, 4059, Australia.
Full list of author information is available at the end of the article
McSweeney and Cichero Journal of Foot and Ankle Research 2015, 8(Suppl 2):P9
http://www.jfootankleres.com/content/8/S2/P9 JOURNAL OF FOOT
AND ANKLE RESEARCH
© 2015 McSweeney and Cichero This is an Open Access article distributed under the terms of the Creative Commons Attribution
License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium,
provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/
publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.


http://link.springer.com/content/pdf/10.1186/1757-1146-8-S2-P9.pdf

Tarsal Tunnel Syndrome – a narrative review of the literature

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