一例罕见的以跗管综合征为表现的副长屈指肌病例。
A Rare Case of Flexor Digitorum Accessorius Longus Muscle Presenting as Tarsal Tunnel Syndrome.
作者信息
Ettehadi Hossein, Saragas Nikiforos Pandelis, Ferrao Paulo
机构信息
The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg, South Africa.
Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa.
出版信息
Arch Bone Jt Surg. 2022 Jan;10(1):112-116. doi: 10.22038/abjs.2020.47749.2345.
Abstract
Tarsal tunnel syndrome (TTS) is a relatively uncommon nerve entrapment neuropathy. Many pathologies are reported as possible causes for TTS. The diagnosis of TTS can be difficult and often missed. We present a rare case of TTS due to an accessory flexor digitorum longus muscle. Together with a high index of suspicion, MRI is the investigation of choice in making the diagnosis. These patients are best managed with excision or transposition of the flexor digitorum accessorius longus (FDAL) and neurolysis of the posterior tibial nerve and its branches.
摘要
跗管综合征（TTS）是一种相对罕见的神经卡压性神经病。许多病理情况被报道为TTS的可能病因。TTS的诊断可能困难且常被漏诊。我们报告一例罕见的因副趾长屈肌导致的TTS病例。结合高度怀疑，MRI是诊断该病的首选检查方法。这些患者最好通过切除或移位副趾长屈肌（FDAL）以及对胫后神经及其分支进行神经松解来治疗。
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