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[跗管的解剖学研究]

[An anatomical study of tarsal tunnel].

作者信息

Nagaoka M

机构信息

Department of Orthopaedic Surgery, Nihon University, School of Medicine, Tokyo, Japan.

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1990 Apr;64(4):208-16.

PMID:2380586
Abstract

In order to understand the pathogenesis and improve the treatment of tarsal tunnel syndrome, we investigated the tarsal region anatomically on 62 feet of 31 cadavers and five freshly amputated feet. The following results were thus obtained: 1. The bifurcation into the medial and lateral plantar nerves mostly occurred within the flexor retinaculum. 2. The medial calcaneal branch showed many anatomical variations. 3. The flexor retinaculum was not clearly demarcated at its superior and inferior borders, and it was not as thick as previously thought. 4. The neurovascular bundle was separated from other tendon sheaths, and enclosed in its own tunnel. 5. A fibrous septum found at the entrance of the abductor hallucis muscle, may represent an entrapment point of the medial plantar nerve. 6. The ganglion from the talocalcaneal joint tended to compress only the medial plantar nerve.

摘要

为了了解跗管综合征的发病机制并改善其治疗方法,我们对31具尸体的62只脚和5只新鲜截肢的脚进行了跗骨区域的解剖研究。结果如下:1. 足底内侧神经和外侧神经的分支大多发生在屈肌支持带内。2. 跟内侧支显示出许多解剖变异。3. 屈肌支持带的上下边界分界不清晰,且不如之前认为的那么厚。4. 神经血管束与其他腱鞘分离,并被包裹在其自身的通道内。5. 在拇展肌入口处发现的纤维隔可能是足底内侧神经的卡压点。6. 距跟关节的腱鞘囊肿倾向于仅压迫足底内侧神经。

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