Saikku Kari, Vasenius Jarkko, Saar Pekka
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Acta Orthop Belg. 2010 Jun;76(3):321-4.
The purpose of this study was to evaluate the results of operative treatment of entrapment of the sciatic nerve by tight fibrous structures associated with the hamstring tendons close to their proximal insertion. We retrospectively evaluated the results of 22 operations performed in 16 patients (6 bilateral operations), on average six years postoperatively. There was complete relief in 11 cases, good relief in 8 cases and fair relief in 3 cases. Entrapment of the proximal sciatic nerve by the hamstring tendons is not presented in standard textbooks. However, this condition is not extremely rare. A wide range of material has been published on operative treatment of the hamstring syndrome, but the patients were essentially active athletes. Our material consisted of ordinary patients who were referred to the university central hospital for orthopaedic consultation. The results of surgical treatment of hamstring syndrome are very encouraging.
本研究的目的是评估在靠近绳肌腱近端附着处的致密纤维结构导致坐骨神经卡压的手术治疗效果。我们回顾性评估了16例患者（6例双侧手术）接受的22次手术的结果，平均术后六年。11例完全缓解，8例明显缓解，3例缓解一般。标准教科书中未提及绳肌腱导致坐骨神经近端卡压的情况。然而，这种情况并非极为罕见。关于绳肌综合征手术治疗的文献资料众多，但患者基本上都是活跃的运动员。我们的病例均为因骨科问题到大学中心医院就诊的普通患者。绳肌综合征的手术治疗结果非常令人鼓舞。
