Soleal sling syndrome

Last revised by Henry Knipe on 23 Nov 2022

Soleal sling syndrome is a rare tibial nerve entrapment syndrome. More commonly the tibial nerve gets entrapped in the tarsal tunnel. In soleal sling syndrome, the nerve gets compressed under the tendinous arch at the origin of soleus muscle 1.

Can present with numbness in the sole of the foot, heel and posterior calf. Tinel test over the proximal calf (approximately 5 cm from popliteal fossa) is positive if radiating pain or paresthesia down the leg is noted 1. Clinical symptoms play an important role in the diagnosis of this condition.

High-resolution 3T MR scans can demonstrate tibial nerve compression at the soleal arch 2.

Surgical release of the tendinous arch can be considered for the management of this condition 1.

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