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題 名 | Anterior Tarsal Tunnel Syndrome: Case Report=前側跗骨隧道壓迫症候群:病例報告 |
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作 者 | 黃國欽; 陳永仁; 許文蔚; | 書刊名 | 長庚醫學 |
卷 期 | 22:3 1999.09[民88.09] |
頁 次 | 頁503-507 |
分類號 | 416.26 |
關鍵詞 | 前側跗骨隧道壓迫症候群; 距骨骨刺; Anterior tarsal tunnel syndrome; Talonavicular osteophyte; |
語 文 | 英文(English) |
中文摘要 | 自1968年,Marinacci正式為前側跗骨隧道壓迫症候群命名以來,在文獻報告中仍 屬罕見病例;此乃由於普遍對於致病機轉的究理未明,合併理學檢查的未盡確實,以至於診 斷率偏低,且治療時機延遲所促成。文章中提出一位53歲的女性病人,長久以來飽受右側 足背疼痛之苦;至本院求診後,經過詳細的病史查詢以及理學檢查,診斷為前側跗骨隧道壓 迫症候群。影像學檢查時,發現有距骨骨刺,手術中則證實此骨刺乃造成深層腓骨神經受壓 迫的原因。此病患在接受適當的隧道減壓及骨刺移除手術之後,獲得迅速的復原,1年後的 追蹤檢查亦顯示結果良好。本文引述的目的在於強調:徹底瞭解致病機轉、詳細的理學檢查、 以及保持高度的警覺性,乃是提高診斷率、及早治療的不二法門。 |
英文摘要 | Anterior tarsal tunnel syndrome is a rare entrapment neuropathy involving the deep peroneal nerve beneath the inferior extensor retinaculum of the ankle and foot. This syndrome may be a clinically under-recognized entity, thus making a missed diagnosis and delayed treatment likely. We present the case of a 53-year-old woman who for many years had experienced the clinical symptoms of anterior tarsal tunnel syndrome, including pain in the dorsum of the right foot with numbness radiating to the first web space. Roentgenograms of the foot revealed osteophytes on the dorsum of the talus as it articulated with the navicular bone. During surgery, the osteophytes were found to be irritating the deep peroneal nerve. After surgical decompression of the anterior tarsal tunnel, the patient had a significant reduction of symptoms. One year later, she was noted to be asymptomatic with normal physical findings. We believe that this case points to the necessity of more thoughtful attention to this syndrome and its diagnosis. That is to say, a thorough knowledge of the pathogenesis and a comprehensive physical examination are the prerequisites for correct diagnosis and appropriate treatment. |
本系統中英文摘要資訊取自各篇刊載內容。