Orthopedic Surgeon, Centre Hospitalier Universitaire de Rouen, Service Orthopédie et Traumatologie, Rouen, France.
Orthopedic Surgeon, Groupe ELSAN, Clinique du Parc, Lyon, France.
J Foot Ankle Surg. 2022 May-Jun;61(3):583-589. doi: 10.1053/j.jfas.2021.10.014. Epub 2021 Oct 23.
Surgical results in tarsal tunnel syndrome are variable, and etiology seems to be a factor. Three possible etiologies can be distinguished. The aim of the present study was to compare surgical results according to etiology. Three continuous retrospective series (45 patients overall) of tarsal tunnel syndrome were compared. Group 1 presented a permanent intra- or extra-tunnel space-occupying compressive structure. Group 2 presented intermittent intra-tunnel venous dilatations. Group 3 comprised idiopathic tarsal tunnel syndrome. The mean follow-up was 3.6 +/- 1.8 years. The main endpoint was subjective postoperative improvement on Likert scale. Group 1 reported greater improvement than groups 2 and 3. Preoperative neuropathy on ultrasound was associated with poorer improvement, which was not the case for neuropathy on electromyography. Surgical treatment of tarsal tunnel syndrome provides better results in etiologies involving structural compression.
跗管综合征的手术结果存在差异，病因似乎是一个因素。可以区分出三种可能的病因。本研究旨在根据病因比较手术结果。比较了 3 个连续的回顾性系列（共 45 例患者）的跗管综合征。第 1 组表现为永久性的管内或管外占位性压迫结构。第 2 组表现为间歇性管内静脉扩张。第 3 组为特发性跗管综合征。平均随访 3.6 +/- 1.8 年。主要终点是 Likert 量表上的术后主观改善。第 1 组的改善程度大于第 2 组和第 3 组。超声检查的术前神经病变与改善较差相关，而肌电图检查的神经病变则不然。手术治疗跗管综合征在涉及结构性压迫的病因中提供了更好的结果。
