Considérations sur le syndrome du canal tarsien postéromédial et les formes apparentées (lésions du nerf tibial et de ses branches)

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• 作者：M. Bouysset (1)
  F. Coury (1)
  A. Labarre-Vila (1)
  J. Damiano (1)
  B. Gerbay (1)
  J. Tebib (1)
  
• 关键词：Tunnel tarsien ; Nerf tibial ; Nerf plantaire médial ; Nerf plantaire latéral ; Nerf calcanéen médial ; Tarsal tunnel ; Tibial nerve ; Medial plantar nerve ; Lateral plantar nerve ; Medial calcaneal nerve
• 刊名：M篓娄decine et Chirurgie du Pied
• 出版年：2012
• 出版时间：June 2012
• 年：2012
• 卷：28
• 期：2
• 页码：69-72
• 全文大小：135KB
• 参考文献：1. Wang F (2010) L’ENMG autour du pied. ENMG 2010, XVII^e Journées francophones d’ENMG. Solal (Ed) 371-8
  2. Lau JT, Stavrou P (2004) Posterior tibial nerve -primary. Foot Ankle Clin 9:271-5 CrossRef
  3. Dellon AL, Kim J, Spaulding CM (1992) Variations in the origin of the medial calcaneal nerve. J Am Podiatr Med Assoc 92:97-01
  
• 作者单位：M. Bouysset (1)
  F. Coury (1)
  A. Labarre-Vila (1)
  J. Damiano (1)
  B. Gerbay (1)
  J. Tebib (1)
  
  1. 126, rue Philippe-Héron, F-69400, Villefranche-sur-Sa?ne, France
  

文摘

Tarsal tunnel syndrome is relatively unheard of due to there being numerous unrecognized atypical morphologies. Analysis of functional signs is important in obtaining a diagnosis. A careful and thorough physical examination can confirm the probability of the diagnosis. However, ENMG is necessary to confirm this diagnosis, even if the reliability of this examination technique is sometimes called into question. Imaging data is used to complete the etiologic investigation, if required. X-rays and ultrasounds are often prescribed. An MRI scan may also be necessary. Simple medical treatment can improve the symptoms in many cases, but in certain situations, surgery may be indicated. The patient must be informed that many contributory factors affecting the results are not always complete.