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Classically, the ganglion is resected with an open approach. This requires release of the flexor retinaculum and dissection around the tibial neurovascular bundle, which may induce fibrosis around the tibial nerve. Endoscopic resection of a tarsal tunnel ganglion via a posterior approach has been reported. The purpose of this Technical Note is to describe the medial approach of endoscopic ganglionectomy of the tarsal tunnel. This is indicated for tarsal tunnel ganglia compressing the tibial nerve and extending to the flexor retinaculum. It is contraindicated if there is other pathology of the tarsal tunnel that demands open surgery; the ganglion compresses the tibial nerve from its deep side and does not extend to the flexor retinaculum; or in the presence of intraneural ganglion of the tibial nerve.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2021.03.003","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T03:00:10Z","timestamp":1621825210000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Endoscopic Ganglionectomy of the Tarsal Tunnel: A\u00a0Medial Approach"],"prefix":"10.1002","volume":"10","author":[{"given":"Tun Hing","family":"Lui","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Sheung Shui NT, Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sui Kit","family":"Chan","sequence":"additional","affiliation":[{"name":"North District Hospital Sheung Shui NT, Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"776","article-title":"Posterior tarsal tunnel syndrome. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}