Bourrel P, Rey A, Blanc J F, Palinacci J C, Bourges M, Giraudeau P
Rev Rhum Mal Osteoartic. 1976 Dec;43(12):723-8.
The authors have observed 15 cases of the tarsal canal syndrome: the 14 cases operated on showed compression of the nerve by bone fragments resulting from trauma by local varices, by a muscular anomaly, or as a result of enclosure by post-trauma fibrosis. Surgery resulted in 10 cures and considerable improvement in 2 other cases. In addition to these 15 "pure" cases the authors report their experience of neurolysis of the posterior tibial nerve and of the plantar nerves of the tarsal canal in the treatment of perforating plantar lesions in leprosy (88 cases) and diabetes (12 cases). The good results in these cases indicate the value of extending this therapy to the treatment of perforating plantar lesions in cases of large nerve neuritis.
作者观察了15例跗管综合征:接受手术的14例显示神经受到因创伤导致的骨碎片压迫,或受局部静脉曲张、肌肉异常影响,或因创伤后纤维化包裹所致。手术治疗后,10例治愈,另外2例有显著改善。除了这15例“单纯”病例外,作者还报告了他们在治疗麻风病(88例)和糖尿病(12例)足底穿通性病变时对胫后神经和跗管内足底神经进行神经松解的经验。这些病例的良好结果表明,将这种治疗方法扩展到治疗大型神经炎病例中的足底穿通性病变具有重要价值。