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前跗管综合征

The anterior tarsal tunnel syndrome.

作者信息

Krause K H, Witt T, Ross A

出版信息

J Neurol. 1977 Dec 1;217(1):67-74. doi: 10.1007/BF00316318.

DOI:10.1007/BF00316318
PMID:75254
Abstract

The anterior tarsal tunnel syndrome, first described in 1968 by Marinacci, is characterized by a compression of the deep peroneal nerve under the inferior extensor retinaculum. The patients complaint of pains on the dorsum of the foot, especially at night. Clinically result sensory deficits in the involved area between the first and second toes as well as paresis and atrophy of the extensor digitorum brevis. The distal latency of the deep peroneal nerve is increased, the EMG shows active and chronic denervation of the extensor digitorum brevis. In cases with partial anterior tarsal tunnel syndrome only the motoric branch to the extensor digitorum brevis or only the sensory branch of the deep peroneal nerve after the division under the inferior extensor retinaculum is compressed. Two cases with complete and one with partial anterior tarsal tunnel syndrome are presented, etiology, symptomatology, differential diagnosis and therapeutic possibilities are discussed.

摘要

跗骨前管综合征于1968年由马里纳奇首次描述,其特征是伸肌下支持带下的腓深神经受压。患者主诉足背疼痛,尤其是在夜间。临床上,第一和第二趾之间的受累区域会出现感觉缺陷,以及趾短伸肌麻痹和萎缩。腓深神经的远端潜伏期延长,肌电图显示趾短伸肌有急性和慢性失神经支配。在部分跗骨前管综合征病例中,仅支配趾短伸肌的运动支或伸肌下支持带下分支后腓深神经的感觉支受到压迫。本文报告2例完全性和1例部分性跗骨前管综合征病例,并讨论其病因、症状、鉴别诊断和治疗方法。

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1
The anterior tarsal tunnel syndrome.前跗管综合征
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2
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3
Compression of the deep branch of the peroneal nerve by the extensor hallucis brevis muscle: a variation of the anterior tarsal tunnel syndrome.拇短伸肌对腓深神经的压迫:跗骨管综合征的一种变异型
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引用本文的文献

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Unravelling the Anatomy of the Anterior Tarsal Tunnel and Its Clinical Implications.解析跗骨前管的解剖结构及其临床意义。
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2
Bilateral atrophy of the extensor digitorum brevis muscle might be a useful sign for diagnosing diabetic polyneuropathy in Japanese men who do not sit in the traditional "seiza" style.双侧趾短伸肌萎缩可能是诊断不采用传统“正座”坐姿的日本男性糖尿病多发性神经病的有用征象。
J Diabetes Investig. 2021 Mar;12(3):398-408. doi: 10.1111/jdi.13367. Epub 2020 Aug 16.
3
Mononeuropathy due to Entrapment of Dorsal Cutaneous Peroneal Nerve: Clinical, Electrophysiological, and Imaging Findings.

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Anterior tarsal tunnel syndrome: a misunderstood and a misleading entrapment neuropathy.跗管综合征:一种被误解和误导的神经卡压症。
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