Haq Ibrahim Inzarul, Banerjee Anjuli A, Arshad Zaki, Iqbal Adil M, Bhatia Maneesh
Department of Trauma and Orthopaedic Surgery, University Hospitals Coventry & Warwickshire, Clifford Bridge Road, CV2 2DX, United Kingdom.
West Suffolk Hospital, Hardwick Ln, Bury Saint Edmunds, IP33 2QZ, United Kingdom.
J Clin Orthop Trauma. 2024 Jul 4;54:102489. doi: 10.1016/j.jcot.2024.102489. eCollection 2024 Jul.
Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is a compressive neuropathy of the posterior tibial nerve or one of its divisions (calcaneal, lateral plantar or medial plantar nerve) within the tarsal tunnel. This scoping review aims to systematically map and summarise current literature regarding the management of tarsal tunnel syndrome.
PubMed, Embase, Emcare, Medline and Cinahl were searched using the terms 'tarsal tunnel', 'syndrome', 'entrapment', 'compression', 'posterior tibial', 'neuropathy' and 'neuralgia. Two stage title abstract screening was performed. Observational studies reporting the outcome of treatment of tarsal tunnel syndrome were included.
A total of 32 studies were included in the review. Excellent or good results are seen in 75.3 % of cases, with the remainder (24.7 %) achieving fair or poor outcomes. Factors which may influence outcome include patient age, symptom duration, aetiology, co-morbidities, pre-treatment symptom severity and nerve fibrosis.
Although favourable outcomes are seen in the majority of cases, poor results are not uncommon. A range of prognostic factors are identified; however, firm conclusions cannot be drawn from the findings of individual low-quality studies. Further research in identifying prognostic factors may aid in clinical decision making and management of patient expectations.
Level IV Scoping review.
跗管综合征，也称为胫后神经痛，是胫后神经或其分支（跟神经、足底外侧神经或足底内侧神经）在跗管内受到压迫而引起的一种神经病变。本综述旨在系统梳理和总结当前关于跗管综合征治疗的文献。
使用“跗管”“综合征”“卡压”“压迫”“胫后”“神经病变”和“神经痛”等术语在PubMed、Embase、Emcare、Medline和Cinahl数据库中进行检索。进行两阶段的标题和摘要筛选。纳入报告跗管综合征治疗结果的观察性研究。
本综述共纳入32项研究。75.3%的病例治疗结果为优或良，其余（24.7%）的结果为一般或差。可能影响治疗结果的因素包括患者年龄、症状持续时间、病因、合并症、治疗前症状严重程度和神经纤维化。
尽管大多数病例治疗结果良好，但效果不佳的情况也并不罕见。确定了一系列预后因素；然而，无法从个别低质量研究的结果中得出确凿结论。进一步研究确定预后因素可能有助于临床决策和患者预期管理。
IV级综述。
