Tarsal tunnel

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Tarsal tunnel
Structures within the tarsal tunnel - with text.svg
Medial view of the ankle. The structures within the tarsal tunnel are depicted.
Dissection video (1 min 55 s)
LatinCanalis tarsi
Anatomical terminology

The tarsal tunnel is found along the inner leg posterior to the medial malleolus.


The tarsal tunnel is made up of bone on the inside and the flexor retinaculum on the outside.



The tibial nerve, posterior tibial artery, posterior tibial vein, and flexor tendons travel in a bundle along this pathway through the tarsal tunnel, in the following order from antero-medial to postero-lateral:

In the tunnel, the nerve splits into three different paths. One nerve (calcaneal) continues to the heel, the other two (medial plantar nerve and lateral plantar nerve) continue on to the bottom of the foot.

Clinical significance[edit]

Tarsal tunnel syndrome[edit]

Tarsal tunnel syndrome is the most commonly reported nerve entrapment of the ankle and is analogous to the carpal tunnel of the wrist. People with tarsal tunnel syndrome have pain in the plantar aspect of the foot mostly at night. Weight bearing increases pain and weakness is found on intrinsic foot muscles with positive Tinel sign at the tunnel. There is no tenderness present on the plantar foot, though this is typically the primary site of complaint.

Additional images[edit]

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