The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2021
Tarsal Tunnel Syndrome: Outcome According to Etiology.
СтатьяНазвание и аннотация: Перевод в очереди
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Lalevée Matthieu, Coillard Jean-Yves, Gauthé Rémi, Dechelotte Benoît, Fantino Olivier, Boublil Daniel, Grisard Jean-Luc, Viste Anthony, Klouche Shahnaz, Bouysset Maurice
Аннотация
Surgical results in tarsal tunnel syndrome are variable, and etiology seems to be a factor. Three possible etiologies can be distinguished. The aim of the present study was to compare surgical results according to etiology. Three continuous retrospective series (45 patients overall) of tarsal tunnel syndrome were compared. Group 1 presented a permanent intra- or extra-tunnel space-occupying compressive structure. Group 2 presented intermittent intra-tunnel venous dilatations. Group 3 comprised idiopathic tarsal tunnel syndrome. The mean follow-up was 3.6 +/- 1.8 years. The main endpoint was subjective postoperative improvement on Likert scale. Group 1 reported greater improvement than groups 2 and 3. Preoperative neuropathy on ultrasound was associated with poorer improvement, which was not the case for neuropathy on electromyography. Surgical treatment of tarsal tunnel syndrome provides better results in etiologies involving structural compression.