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内镜下跗管综合征沙漏状神经节切除术及内引流术

Endoscopic Ganglionectomy and Internal Drainage of Hourglass Ganglion of the Tarsal Tunnel.

作者信息

Siu Ronald Wing Hei, Lui Tun Hing

机构信息

Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

出版信息

Arthrosc Tech. 2024 Dec 7;14(4):103348. doi: 10.1016/j.eats.2024.103348. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103348
PMID:40452992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12125984/
Abstract

Tarsal tunnel syndrome is a common entrapment neuropathy that is sometimes elicited by ganglia in the tarsal tunnel. The tarsal ganglion may penetrate through the flexor retinaculum and have an hourglass appearance with components deep and superficial to the retinaculum. The purpose of this Technical Note is to describe technical details of endoscopic management of hourglass ganglion of the tarsal tunnel. This comprises excision of the part of the ganglion superficial to the flexor retinaculum and internal drainage of the deep part of the ganglion to the tendon sheath of the posterior tibial tendon. Preserving integrity of the flexor retinaculum and the ganglion sac can minimize the risk of injury to the tibial neurovascular bundle and development of fibrous adhesion around the bundle.

摘要

跗管综合征是一种常见的卡压性神经病变，有时由跗管内的神经节引起。跗管神经节可能穿透屈肌支持带，呈沙漏状，在支持带的深部和浅部分别有结构。本技术说明的目的是描述跗管沙漏状神经节的内镜治疗技术细节。这包括切除屈肌支持带浅面的神经节部分，并将神经节深部引流至胫后肌腱腱鞘。保留屈肌支持带和神经节囊的完整性可将胫神经血管束损伤及束周纤维粘连形成的风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/81c0ac48fafa/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/e084745a160a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/7a382334b665/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/1897b2cfc9db/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/2f34635a3b87/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/55c1f6bb7116/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/81c0ac48fafa/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/e084745a160a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/7a382334b665/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/1897b2cfc9db/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/2f34635a3b87/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/55c1f6bb7116/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12125984/81c0ac48fafa/gr6.jpg

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Endoscopic Ganglionectomy of the Tarsal Tunnel: A Medial Approach.跗管内镜下神经节切除术：内侧入路
Arthrosc Tech. 2021 May 24;10(6):e1615-e1619. doi: 10.1016/j.eats.2021.03.003. eCollection 2021 Jun.
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