Baxter D E
Instr Course Lect. 1993;42:185-94.
Although neuropathies in the athlete's foot, ankle, and leg are uncommon, they are often underdiagnosed, primarily because of the complex interplay of causative factors. The physician should be aware of the possible occurrence of these neuropathies, and should be familiar with the anatomy and course of the nerves. Often, the problem only occurs during functional activity and cannot be demonstrated during the routine static examination. Other problems should also be considered when there is the possibility of a nerve compression syndrome. Metabolic processes, such as diabetes or abuse of alcohol, can certainly cause neuropathies. A double crush syndrome or pain from a higher source should also be considered. Finally, if surgery is done for chronic problems, only the area of constriction should be released, without interfering with the nerve itself. Release the fascia but leave the perineural fat intact. If instability is a factor, the joint should also be stabilized.
虽然足癣、脚踝和腿部的神经病变并不常见，但往往诊断不足，主要是因为致病因素之间存在复杂的相互作用。医生应意识到这些神经病变的可能发生，并应熟悉神经的解剖结构和走行。通常，问题仅在功能活动期间出现，在常规静态检查中无法显示。当存在神经压迫综合征的可能性时，还应考虑其他问题。代谢过程，如糖尿病或酗酒，肯定会导致神经病变。还应考虑双压迫综合征或更高部位的疼痛。最后，如果针对慢性问题进行手术，只应松解狭窄区域，而不干扰神经本身。松解筋膜，但保留神经周围脂肪完整。如果不稳定是一个因素，还应稳定关节。
