Cohen Jose Carlos, de Miranda Silvana Teixeira
Foot and Ankle Service, Federal University Hospital of Rio de Janeiro (UFRJ/HUCFF), Rua Rodolpho Paulo Rocco, 255, Cidade Universitária, Ilha do Fundão, Rio de Janeiro - RJ CEP 21941-913, Brazil.
Federal University Hospital of Rio de Janeiro (UFRJ/HUCFF), Rua Rodolpho Paulo Rocco, 255, Cidade Universitária, Ilha do Fundão, Rio de Janeiro - RJ CEP 21941-913, Brazil.
Orthop Clin North Am. 2020 Apr;51(2):279-291. doi: 10.1016/j.ocl.2019.11.012.
Hansen disease remains a common problem worldwide with 750,000 new cases diagnosed each year. Nerve injury is a central feature of the pathogenesis because of the unique tendency of Mycobacterium leprae to invade Schwann cells and the peripheral nervous system, that can be permanent and develop into disabilities. The orthopedic surgeon has an important role in the management of neuropathy, performing surgical release of the tibial and common peroneal nerves in potentially constricting areas, thus providing a better environment for nerve function. In cases of permanent loss of nerve function with drop foot, specific tendon transfers can be used.
麻风病在全球仍是一个常见问题，每年有75万新病例被诊断出来。神经损伤是发病机制的核心特征，因为麻风杆菌具有侵入施万细胞和周围神经系统的独特倾向，这种损伤可能是永久性的，并会发展成残疾。骨科医生在神经病变的管理中发挥着重要作用，在可能发生压迫的部位对胫神经和腓总神经进行手术松解，从而为神经功能提供更好的环境。在因足下垂导致神经功能永久丧失的病例中，可以采用特定的肌腱转移术。
