Herbsthofer B, Vogt T, Karbowski A, Krischek O
Orthopädische Universitätsklinik Mainz.
Z Orthop Ihre Grenzgeb. 1998 Jan-Feb;136(1):77-82. doi: 10.1055/s-2008-1051287.
In differential diagnosis of foot pain the tarsal tunnel syndrome has to be considered. Only few publications concerning clinical signs, diagnostic means, especially electrophysiological methods and postoperative long term results can be found in literature. In this study 21 of 32 patients who had a decompression operation of the posterior tibial nerve between 1972 and 1995 were reexamined at an average follow-up time of 12 years. Electrodiagnostic evaluation and clinical results by time of follow-up were compared to preoperative findings. Using the criteria described by Kaplan 10 postoperative results were rated as very good, 6 as good and 5 as poor. Sensible neurography has proven the most sensitive electrodiagnostic method. In the majority of cases the tarsal tunnel syndrome is still a clinical diagnosis.
在足部疼痛的鉴别诊断中，必须考虑跗管综合征。关于临床体征、诊断方法，尤其是电生理方法以及术后长期结果的文献报道很少。在本研究中，对1972年至1995年间接受胫后神经减压手术的32例患者中的21例进行了复查，平均随访时间为12年。将随访时的电诊断评估和临床结果与术前结果进行比较。根据卡普兰描述的标准，10例术后结果评为非常好，6例为好，5例为差。感觉神经电图已被证明是最敏感的电诊断方法。在大多数情况下，跗管综合征仍然是一种临床诊断。
