Wiles C M, Whitehead S, Ward A B, Fletcher C D
J Neurol Neurosurg Psychiatry. 1987 Apr;50(4):479-81. doi: 10.1136/jnnp.50.4.479.
A 23 year old male patient presented with a venous thrombosis in the right calf. This was followed by symptoms, signs and electromyographic findings suggestive of a tarsal tunnel syndrome. Symptoms were briefly relieved by surgical division of the flexor retinaculum. Subsequently, patient developed swelling in the calf and was found to have a malignant ("Triton") tumour of the tibial nerve and required above knee amputation. In the absence of obvious foot or ankle deformity, caution should be exercised in making the diagnosis of tarsal tunnel syndrome.
一名23岁男性患者出现右小腿静脉血栓形成。随后出现的症状、体征及肌电图检查结果提示跗管综合征。屈肌支持带手术切开后症状短暂缓解。随后，患者小腿出现肿胀，经检查发现患有胫神经恶性（“蝾螈”）肿瘤，需行膝上截肢术。在无明显足或踝部畸形的情况下，诊断跗管综合征时应谨慎。
