Piza-Katzer H, Pilz E
Abteilung für Plastische und Wiederherstellungschirurgle, Ludwig Boltzmann Institut für Qualitätssicherung, Wien.
Handchir Mikrochir Plast Chir. 1997 May;29(3):124-6.
The case of a female patient complaining of dysaesthesia and paraesthesia on the dorsum of her right foot and digits which failed to respond to conservative treatment is presented. 10 cm above the lateral malleolus, a muscle bulge of 2 cm was detected. Hoffmann-Tinel's sign was positive at this site. The diagnosis of nerve entrapment was confirmed by a conduction velocity block. Through an incision centered over the muscle bulge, the superficial fibular nerve was identified. It was found to be compressed by fascia. Fascial release and epineuriotomy resulted in complete recovery. Entrapment of the sensory superficial fibular nerve in the patient is thought to have been caused by prolonged work-related kneeling and squatting over many years.
本文介绍了一名女性患者的病例，该患者主诉右脚背及脚趾感觉异常和麻木，保守治疗无效。在外踝上方10厘米处，发现一个2厘米的肌肉隆起。在此部位霍夫曼征阳性。通过传导速度阻滞确诊为神经卡压。通过以肌肉隆起为中心的切口，识别出腓浅神经。发现它被筋膜压迫。筋膜松解和神经外膜切开术使患者完全康复。该患者感觉性腓浅神经卡压被认为是多年来长期与工作相关的跪姿和蹲姿所致。
