Lin, P. Ling, MD, Arment S. Kelikian, MD, Wayne M. Goldstein, MD
This paper was presented as a Scientific Exhibit at the American Academy of Orthopaedic Surgeons, 63rd Annual Meeting in Atlanta, GA.
"The purpose of this study is to investigate the incidence of TSS as defined by prolonged nerve latency in a group of 28 consecutive ankle fractures. TSS presents with the triad nerve distribution. Signs include Tinel's compression, hypesthesia, decreased two-point discrimination and positive Semmes-Weinstein test. Electrodiagnostic studies are preformed with the nervepace Nerve Conduction Monitor.
Posterior tibial nerve latency is measured in injured and contralateral control side. The nerve stimulated is the retromalleolar grounded medial/dorsal and recorded over the abductor hallucis belly. Mean nerve latency was 6.252 msec in the injured and 6.002 msec in the uninjured. Statistical analysis showed no difference between injured and normal side or surgical and non-surgical ankle fracture groups. No associations were found between ankle fractures and electrodiagnostic TSS."
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