Sinus tarsi

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Sinus tarsi
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A labeled diagram of the foot bones, with the sinus tarsi labeled (upper right; next to Tarsus label)
SynonymsTalocalcaneal sulcus
Identifiers
TA98 A02.5.11.009
TA2 1476
FMA 35138
Anatomical terminology

The sinus tarsi, also known as the talocalcaneal sulcus, [1] is a cylindrical canal in the hindfoot. It has a complex anatomy, with five ligamentous structures and a pad of adipose tissue (fat). [2] The tarsal canal opens up into the sinus tarsi, [3] however, the tarsal canal is a distinct structure.

Contents

Structure

The sinus tarsi located in the hindfoot, it is contained by the calcaneus, talus, talocalcaneonavicular joint, and the bottom of the subtalar joint. [1] There are five ligamentous structures present inside it: the intermediate, medial, and lateral roots of the inferior extensor retinaculum; the cervical ligament, and the interosseous talocalcaneal ligament. There is also a pad of adipose tissue. [2] The tarsal canal also opens up into the sinus tarsi. [3]

Physiology

The sinus tarsi helps stabilize the ankle, as the cervical ligament limits inversion of the (turning in) and the interosseous talocalcaneal ligament limits eversion (turning out). [2]

Clinical significance

Prior to the discovery of sinus tarsi syndrome, the sinus tarsi was not well studied and was seen as irrelevant. [4]

Sinus tarsi syndrome

Sinus tarsi syndrome is a clinical disorder of pain and tenderness in the sinus tarsi. This disorder can have a variety of causes; however, the most common is an inversion ankle sprain. [5]

Surgery access

In recent years, approaching a displaced intra-articular calcaneus fracture via the sinus tarsi during surgery has been found to be more efficient in reconstructing the bone and less invasive, preserving soft tissue around the bone. [6] [7]

Related Research Articles

<span class="mw-page-title-main">Foot</span> Anatomical structure found in vertebrates

The foot is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is a separate organ at the terminal part of the leg made up of one or more segments or bones, generally including claws and or nails.

<span class="mw-page-title-main">Ankle</span> Region where the foot and the leg meet

The ankle, or the talocrural region, or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joint. The movements produced at this joint are dorsiflexion and plantarflexion of the foot. In common usage, the term ankle refers exclusively to the ankle region. In medical terminology, "ankle" can refer broadly to the region or specifically to the talocrural joint.

<span class="mw-page-title-main">Calcaneus</span> Bone of the tarsus of the foot

In humans and many other primates, the calcaneus or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock.

<span class="mw-page-title-main">Flat feet</span> Deformity in which the foot arches contact the ground

Flat feet is a postural deformity in which the arches of the foot collapse, with the entire sole of the foot coming into complete or near-complete contact with the ground. Sometimes children are born with flat feet (congenital).

<span class="mw-page-title-main">Joint dislocation</span> Medical injury

A joint dislocation, also called luxation, occurs when there is an abnormal separation in the joint, where two or more bones meet. A partial dislocation is referred to as a subluxation. Dislocations are often caused by sudden trauma on the joint like an impact or fall. A joint dislocation can cause damage to the surrounding ligaments, tendons, muscles, and nerves. Dislocations can occur in any major joint or minor joint. The most common joint dislocation is a shoulder dislocation.

<span class="mw-page-title-main">Tarsus (skeleton)</span> Bones of the foot

In the human body, the tarsus is a cluster of seven articulating bones in each foot situated between the lower end of the tibia and the fibula of the lower leg and the metatarsus. It is made up of the midfoot and hindfoot.

<span class="mw-page-title-main">Talus bone</span> One of the foot bones that forms the tarsus

The talus, talus bone, astragalus, or ankle bone is one of the group of foot bones known as the tarsus. The tarsus forms the lower part of the ankle joint. It transmits the entire weight of the body from the lower legs to the foot.

<span class="mw-page-title-main">Sever's disease</span> Medical condition

Sever's disease, also known as calcaneus apophysitis, is an inflammation at the back of the heel growth plate in growing children. The condition is thought to be caused by repetitive stress at the heel. This condition is benign and common and usually resolves when the growth plate has closed or during periods of less activity. It occurs in both males and females. There are a number of locations in the body that may get apophysitis pain. Another common location is at the front of the knee which is known as apophysitis of the tibial tuberosity or Osgood–Schlatter disease.

<span class="mw-page-title-main">Ankle fracture</span> Medical condition

An ankle fracture is a break of one or more of the bones that make up the ankle joint. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.

<span class="mw-page-title-main">Subtalar joint</span>

In human anatomy, the subtalar joint, also known as the talocalcaneal joint, is a joint of the foot. It occurs at the meeting point of the talus and the calcaneus.

<span class="mw-page-title-main">Calcaneocuboid joint</span> Joint between the calcaneus bone and the cuboid bone in the foot.

The calcaneocuboid joint is the joint between the calcaneus and the cuboid bone.

<span class="mw-page-title-main">Enthesitis</span> Medical condition

Enthesitis is inflammation of the entheses, the sites where tendons or ligaments insert into the bone. It is an enthesopathy, a pathologic condition of the entheses. Early clinical manifestations are an aching sensation akin to "working out too much", and it gets better with activity. It is worse in the morning. The muscle insertion hurts very focally as it joins into the bone, but there is little to no pain at all with passive motion. There are some cases of isolated, primary enthesitis which are very poorly studied and understood. It is known to be associated with other autoimmune diseases, like spondyloarthropathies and psoriasis. A common autoimmune enthesitis is at the heel, where the Achilles tendon attaches to the calcaneus.

<span class="mw-page-title-main">Calcaneal fracture</span> Medical condition

A calcaneal fracture is a break of the calcaneus. Symptoms may include pain, bruising, trouble walking, and deformity of the heel. It may be associated with breaks of the hip or back.

Foot and ankle surgery is a sub-specialty of orthopedics and podiatry that deals with the treatment, diagnosis and prevention of disorders of the foot and ankle. Orthopaedic surgeons are medically qualified, having been through four years of college, followed by 4 years of medical school or osteopathic medical school to obtain an M.D. or D.O. followed by specialist training as a resident in orthopaedics, and only then do they sub-specialise in foot and ankle surgery. Training for a podiatric foot and ankle surgeon consists of four years of college, four years of podiatric medical school (D.P.M.), 3–4 years of a surgical residency and an optional 1 year fellowship.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

Unlike the flexible flat foot that is commonly encountered in young children, congenital vertical talus is characterized by presence of a very rigid foot deformity. The foot deformity in congenital vertical talus consists of various components, namely a prominent calcaneus caused by the ankle equines or plantar flexion, a convex and rounded sole of the foot caused by prominence of the head of the talus, and a dorsiflexion and abduction of the forefoot and midfoot on the hindfoot. It gets its name from the foot's resemblance to the bottom of a rocking chair. There are two subcategories of congenital vertical talus namely idiopathic or isolated type and non-idiopathic type which may be seen in association with arthrogryposis multiplex congenital, genetic syndromes and other neuromuscular disorders.

<span class="mw-page-title-main">Tarsal coalition</span> Medical condition

Tarsal coalition is an abnormal connecting bridge of tissue between two normally-separate tarsal bones. The term 'coalition' means a coming together of two or more entities to merge into one mass. The tissue connecting the bones, often referred to as a "bar", may be composed of fibrous or osseous tissue. The two most common types of tarsal coalitions are calcaneo-navicular and talo-calcaneal, comprising 90% of all tarsal coalitions. There are other bone coalition combinations possible, but they are very rare. Symptoms tend to occur in the same location, regardless of the location of coalition: on the lateral foot, just anterior and below the lateral malleolus. This area is called the sinus tarsi.

<span class="mw-page-title-main">Pilon fracture</span> Medical condition

A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of all lower extremity fractures, but they involve a large part of the weight-bearing surface of the tibia in the ankle joint. Because of this, they may be difficult to fixate and are historically associated with high rates of complications and poor outcome.

In the skeleton of humans and other animals, a tubercle, tuberosity or apophysis is a protrusion or eminence that serves as an attachment for skeletal muscles. The muscles attach by tendons, where the enthesis is the connective tissue between the tendon and bone. A tuberosity is generally a larger tubercle.

<span class="mw-page-title-main">Sinus tarsi syndrome</span> Disorder of pain and tenderness in the sinus tarsi

Sinus tarsi syndrome is the clinical disorder of pain and tenderness in the sinus tarsi, which is the lateral side of the foot, between the ankle and the heel. The term "sinus tarsi syndrome" can also refer to swelling of the subtalar joint. The condition is somewhat poorly understood.

References

  1. 1 2 Tu, P (January 2018). "Heel Pain: Diagnosis and Management". American Family Physician. 97 (2): 86–93. ISSN   1532-0650. PMID   29365222.
  2. 1 2 3 Arshad, Z; Bhatia, M (August 2021). "Current concepts in sinus tarsi syndrome: A scoping review". Foot and Ankle Surgery. 27 (6): 615–21. doi:10.1016/j.fas.2020.08.013. ISSN   1460-9584. PMID   32978087. S2CID   221937877.
  3. 1 2 Pisani, G; Pisani, PC; Parino, E (January 2005). "Sinus tarsi syndrome and subtalar joint instability". Clinics in Podiatric Medicine and Surgery. 22 (1): 63–77. doi:10.1016/j.cpm.2004.08.005. PMID   15555844.
  4. Brown, Joseph Edmund M.D. (1960). "The Sinus Tarsi Syndrome". Clinical Orthopaedics. 18: 231–233.
  5. Bouché, Richard. "Sinus Tarsi Syndrome". American Academy of Podiatric Sports Medicine. Retrieved 2022-12-22.
  6. Khazen, G; Rassi, CK (December 2020). "Sinus Tarsi Approach for Calcaneal Fractures". Foot and Ankle Clinics. 25 (4): 667–81. doi:10.1016/j.fcl.2020.08.003. PMID   33543722. S2CID   225001642.
  7. Weinraub, GM; David, MS (April 2019). "Sinus Tarsi Approach with Subcutaneously Delivered Plate Fixation for Displaced Intra-Articular Calcaneal Fractures". Clinics in Podiatric Medicine and Surgery. 36 (2): 225–31. doi:10.1016/j.cpm.2018.10.005. PMID   30784533. S2CID   73496271.