O'Malley G M, Lambdin C S, McCleary G S
Orthopedics. 1985 Jun;8(6):758-60. doi: 10.3928/0147-7447-19850601-11.
An illustrative case report and a review of the literature are presented. The tarsal tunnel syndrome is a relatively rare syndrome consisting of pain, paresthesias, and varying degrees of motor and vasomotor changes in any or all three branches of the posterior tibial nerve at the ankle. It represents a pressure neuropathy secondary to intrinsic or extrinsic stenosis of the tarsal tunnel, with a wide variety of underlying causes. The clinical suspicion may be confirmed by electromyography and nerve conduction studies, comparing motor and sensory action potential latency, amplitude and duration to that of the uninvolved foot. Surgical decompression affords the only consistent good results with an 80% to 90% cure rate.
本文展示了一个典型病例报告并对相关文献进行了综述。跗管综合征是一种相对罕见的综合征，表现为踝关节处胫后神经的任何一支或全部三支出现疼痛、感觉异常以及不同程度的运动和血管舒缩变化。它是由跗管内在或外在狭窄继发的压迫性神经病变，病因多种多样。通过肌电图和神经传导研究，将患侧足部运动和感觉动作电位的潜伏期、波幅和时限与健侧足部进行比较，可确诊临床疑似病例。手术减压是唯一能持续取得良好效果的治疗方法，治愈率达80%至90%。
