Department of Geriatrics, Neurosciences and Orthopaedics, Catholic University of the Sacred Heart, Largo F. Vito 1, 00168, Rome, Italy.
Don Carlo Gnocchi Onlus Foundation, P.le Morandi, 6, 20121, Milan, Italy.
Neurol Sci. 2017 Oct;38(10):1735-1739. doi: 10.1007/s10072-017-3039-x. Epub 2017 Jun 29.
Tarsal tunnel syndrome is an entrapment neuropathy of the posterior tibial nerve or its terminal branches within its fibro-osseous tunnel beneath the flexor retinaculum on the medial side of the ankle. The condition is frequently underdiagnosed leading to controversies regarding its epidemiology and to an intense debate in the literature. With the advent of nerve imaging techniques, the diagnostic confirmation and the etiological identification have become more accurate. However, management of this entrapment neuropathy remains challenging because of many intervention strategies but limited robust evidence. Uncertainties still exist about the best conservative treatment, timing of surgical intervention, and best surgical approach. In the attempt to clarify these aspects and to provide the reader some understanding of the status of the art, we have reviewed the published literature on this controversial condition.
跗管综合征是一种位于踝内侧屈肌支持带下方的纤维骨性隧道内的胫后神经或其终末支的卡压性神经病。由于该疾病经常被漏诊，导致其流行病学方面存在争议，并在文献中引发了激烈的讨论。随着神经影像学技术的出现，诊断的确认和病因的确定变得更加准确。然而，由于存在许多干预策略，但缺乏强有力的证据，这种神经卡压的治疗仍然具有挑战性。对于最佳的保守治疗、手术干预的时机以及最佳的手术入路，仍然存在不确定性。为了澄清这些方面，并使读者对该疾病的现状有一定的了解，我们对该有争议性疾病的已发表文献进行了回顾。
