La chirurgie du tunnel tarsien : à propos de quatre cas

详细信息    查看全文

• 作者：W. Zribi (1)
  A. Naceur (1)
  M. Zribi (1)
  A. Yahia (1)
  J. Sellami (1)
  M. Trigui (1)
  K. Ayadi (1)
  H. Keskes (1)
  
• 关键词：Tunnel tarsien ; électromyogramme ; Rééducation ; Chirurgie ; Tarsal tunnel ; Electromyography ; Rehabilitation ; Surgery
• 刊名：M篓娄decine et Chirurgie du Pied
• 出版年：2013
• 出版时间：June 2013
• 年：2013
• 卷：29
• 期：2
• 页码：35-39
• 全文大小：196KB
• 参考文献：1. Lorente L, Blot S, Rello J (2010) New issues and controversies in the prevention of ventilator-associated pneumonia. Am J Respir Crit Care Med 182:870-76 CrossRef
  2. Bailie DS, Kelikian AS (1998) Tarsal tunnel syndrome: diagnosis, surgical technique, and functional outcome. Foot Ankle Int 19:65-2 CrossRef
  3. Takakura Y, Kitada C, Sugimoto K, et al (1991) Tarsal tunnel syndrome. Causes and results of operative treatment. J Bone Joint Surg Br 73:125-28
  4. Zeiss J, Fenton P, Elrahum N, Coombs RJ (1990) Normal magnetic resonance anatomy of the tarsal tunnel. Foot Ankle 10:214-18 CrossRef
  5. Frey C, Kerr R (1993) Magnetic resonance imaging and the evaluation of tarsal tunnel syndrome. Foot Ankle 14:159-64 CrossRef
  6. Cimino WR (1990) Tarsal tunnel syndrome: review of the literature. Foot Ankle 1:47-2 CrossRef
  7. Lam SJ (1967) Tarsal tunnel syndrome. J Bone Joint Surg Br 49:87-2
  8. Katirji B, Wilbourn AJ (2005) Mononeuropathies of the lower limb. In: Company WBS (eds) Peripheral neuropathy, pp 1487-510 CrossRef
  9. Thomas JL, Christensen JC, Kravitz SR, et al (2010) The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg 49(3 Suppl):S1–S19
  10. Kopell HP, Thompson WA (1960) Peripheral entrapment neuropathies of the lower extremity. New Engl J Med 262:56-0 CrossRef
  11. Keck C (1962) The tarsal tunnel syndrome. J Bone Joint Surg 44:180-82
  12. Lam SJ (1962) A tarsal-tunnel syndrome. Lancet 2:1354-355 CrossRef
  13. Lau JT, Stavrou P (2004) Posterior tibial nerve-primary. Foot Ankle Clin 9:271-85 CrossRef
  14. Guyton GP, Mann RA, Kreiger LE, et al (2000) Cumulative industrial trauma as an etiology of seven common disorders in the foot and ankle: what is the evidence? Foot Ankle Int 21:1047-056
  15. Goodman CR, Kehr LE (1983) Bilateral tarsal tunnel syndrome. J Am Podiatr Assoc 73:256-60
  16. Tres GS, Lisboa HR, Syllos R, et al (2007) Prevalence and characteristics of diabetic polyneuropathy in Passo Fundo. Arq Bras Endocrinol Metabol 51:987-92 CrossRef
  17. Pfeiffer WH, Cracchiolo A 3rd (1994) Clinical results after tarsal tunnel decompression. J Bone Joint Surg Am 76:1222-230
  18. Valtin B (1996) Syndrome canalaire du nerf tibial postérieur et de ses branches. Cahiers d’enseignement de la Sofcot 54:163-70
  19. Créteur V, Bacq C, Fumière E, et al (2007) échographie des nerfs périphériques -deuxième partie: membre inférieur. J Radiol 88:349-60 CrossRef
  20. Trattnig S, Breitenseher M, Haller J, et al (1995) Tarsal tunnel syndrome. MRI diagnosis. Radiologe 35:468-72
  21. David WS, Doyle JJ (1996) Segmental near nerve sensory conduction studies of the medial and lateral plantar nerve. Clin Neurophysiol 36:411-17
  22. Kaplan PE, Kernahan WT (1981) Tarsal tunnel syndrome. An electrodiagnostic and surgical correlation. J Bone Joint Surg 63:96-9
  23. Ahmad M, Tsang K, Mackenny PJ, Adedapo AO (2012) Tarsal tunnel syndrome: a literature review. Foot Ankle Surg 18:149-52 CrossRef
  24. Langan P, Weiss CA (1980) Subluxation of the tibialis posterior, a complication of tarsal tunnel decompression: a case report. Clin Orthop 146:226-27
  
• 作者单位：W. Zribi (1)
  A. Naceur (1)
  M. Zribi (1)
  A. Yahia (1)
  J. Sellami (1)
  M. Trigui (1)
  K. Ayadi (1)
  H. Keskes (1)
  
  1. Service de médecine physique et réadaptation fonctionnelle, CHU Habib-Bourguiba, route Al-Ain-Km 05, 3029, Sfax, Tunisie
  

文摘

The tarsal tunnel syndrome is a rare disease. These symptoms include pain and plantar dysesthesia in the territory of the posterior tibial nerve. Existence of a Tinel sign on the path of the posterior tibial nerve is the best argument in favour of clinical compression. The electrophysiological study confirmed the diagnosis in the four cases. Imaging can help the etiological analysis looking for a lesion of the bone structure, the sequelae of fracture of the hindfoot, static disorders of the foot and the presence of any space-occupying intraductal lesions. Initial treatment is always medical; it combines analgesic and anti-inflammatory prescriptions. Sensory-motor rehabilitation is always indicated. The apparatus is indicated in case of static disorders of the foot. Surgery is indicated if conservative treatment fails or if there is a presence of a compressive lesion. It is based on the incision of the flexor retinaculum, the opening of the abductor hallucis muscle fascia and the tibial nerve neurolysis. The surgery must release all these structures to have good results and avoid recurrences in the long run.