Settanni F A, Cecilio S A, de M Leandro L, Zuleta J A, Neri E A
Serviço de Neurocirurgia, Hopital do Servidor Público do Estado de São Paulo.
Rev Assoc Med Bras (1992). 1996 Jan-Mar;42(1):51-6.
Little is know on tarsal tunnel syndrome by means of image and electrophysiological access. It is imperative the differential diagnosis on diseases which present foot pain.
To present patients with foot pain complaints, whose clinical pattern allowed the diagnosis of tarsal tunnel syndrome.
Eleven patients underwent nerve velocity conduction examination concluding for entrapment. They were submitted to tarsal tunnel surgical decompression by sectioning the flexor retinaculum.
Most of the cases showed a marked fibrous thickening. The improvement of symptoms was noted in the first weeks. No recurrence was observed from three months to five years.
The main question was the presentation of the tarsal tunnel syndrome and some adequate procedures.
通过影像学和电生理检查手段,对于跗管综合征的了解甚少。对于出现足部疼痛的疾病进行鉴别诊断至关重要。
介绍有足部疼痛主诉且临床症状符合跗管综合征诊断的患者。
11例患者接受了神经速度传导检查,结果显示有神经卡压。他们接受了切开屈肌支持带的跗管手术减压。
大多数病例显示有明显的纤维增厚。在最初几周症状有所改善。从三个月到五年未观察到复发。
主要问题是跗管综合征的表现及一些适当的治疗方法。