Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
Arthrosc Tech. 2016 Oct 17;5(5):e1173-e1177. doi: 10.1016/j.eats.2016.07.004. eCollection 2016 Oct.
The tarsal tunnel ganglion is a cause of posterior tarsal tunnel syndrome. Open resection of the ganglion calls for release of the flexor retinaculum and dissection around the tibial neurovascular bundle. This can induce fibrosis around the tibial nerve. We report the technique of endoscopic resection of the tarsal tunnel ganglion. It is indicated for tarsal tunnel ganglia arising from the adjacent joints or tendon sheaths and compressing the tibial nerve from its deep side. It is contraindicated if there is other pathology of the tarsal tunnel that demands open surgery; if the ganglion compresses the tibial nerve from its superficial side, which calls for a different endoscopic approach using the ganglion portal; or if an intraneural ganglion of the tibial nerve is present. The purpose of this technical note is to describe a minimally invasive approach for endoscopic resection of the tarsal tunnel ganglion.
跗管神经节是跗管综合征的一个病因。神经节的开放切除需要松解屈肌支持带并在胫神经血管束周围进行解剖。这可能会在胫神经周围诱发纤维化。我们报告跗管神经节的内镜切除技术。它适用于起源于相邻关节或腱鞘并从其深侧向胫神经施加压迫的跗管神经节。如果跗管存在需要开放手术的其他病变；如果神经节从其浅侧向胫神经施加压迫，这需要采用不同的使用神经节入口的内镜入路；或者如果存在胫神经的神经内神经节，则为禁忌证。本技术说明的目的是描述一种用于跗管神经节内镜切除的微创方法。
