Takakura Y, Kitada C, Sugimoto K, Tanaka Y, Tamai S
Department of Orthopaedic Surgery, Nara Medical University, Japan.
J Bone Joint Surg Br. 1991 Jan;73(1):125-8. doi: 10.1302/0301-620X.73B1.1991745.
From 1975 to 1988, operative treatment was performed on 50 feet in 45 patients with tarsal tunnel syndrome. The causes of this syndrome were correlated with operative findings and included ganglia in 18, and a bony prominence from talocalcaneal coalition in 15. Five feet had sustained an injury, tumours were found in three and there was no obvious cause in nine. In most cases in need of operative treatment, there was a space-occupying lesion. Classifying the results according to causes, those with coalition or a tumour fared better, and idiopathic and traumatic cases had a worse outcome. In cases with a definite lesion, an excellent result can be expected from surgical treatment carried out soon after onset of the condition.
1975年至1988年期间，对45例跗管综合征患者的50只脚进行了手术治疗。该综合征的病因与手术发现相关，其中18例为腱鞘囊肿，15例为距跟联合处的骨质增生。5只脚曾受过伤，3例发现肿瘤，9例无明显病因。在大多数需要手术治疗的病例中，存在占位性病变。根据病因对结果进行分类，联合或肿瘤患者的预后较好，特发性和创伤性病例的预后较差。对于有明确病变的病例，在病情发作后尽早进行手术治疗有望获得良好的效果。
