High Tibial Nerve Entrapment: A Common Component of Tarsal Tunnel Syndrome.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI:10.7547/22-227

Roberto P Segura, Michael S Nirenberg

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引用次数: 0

Abstract

Background: Tarsal tunnel syndrome (TTS) is the result of compression of the tibial nerve in the area of the medial foot, ankle, or both. Individuals suffering from TTS may experience pain, burning, cramping, or numbness on the sole of the foot and toes. Tarsal tunnel syndrome is divided into a distal component and a proximal component. The latter is referred to as high TTS (HTTS) in which the tibial nerve is compressed above the location of the laciniate ligament. Research on HTTS is scant, and this study is among the first to evaluate the prevalence of HTTS in individuals with clinical signs and symptoms of TTS.

Methods: The prevalence of HTTS was studied retrospectively in 175 patients who presented with clinical signs and symptoms of TTS and underwent electrodiagnostic testing. The electrodiagnostic testing involved conventional evaluation and a technique known as "inching" or short segment stimulation.

Results: Of the 175 patients studied, 93 (53.1%) were found to have a focal entrapment in the area proximal to the laciniate ligament.

Conclusions: Electrodiagnostic evidence of a focal nerve entrapment in the area proximal to the laciniate ligament, known as HTTS, occurred in a significant number of patients who presented with clinical signs and symptoms of TTS.

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胫高神经压迫：跗骨隧道综合征的常见症状。

背景：跗骨隧道综合征（TTS）是胫骨神经在足内侧、踝关节或两者受压的结果。患有TTS的人可能会感到脚底和脚趾疼痛、灼烧、痉挛或麻木。跗骨隧道综合征分为远端部分和近端部分。后者被称为高TTS (HTTS)，其中胫骨神经被压在韧带的位置之上。关于HTTS的研究很少，本研究是第一个评估HTTS在有TTS临床体征和症状的个体中的患病率的研究之一。方法：回顾性分析175例出现TTS临床体征和症状并行电诊断检查的患者的HTTS患病率。电诊断测试包括传统的评估和一种被称为“点触”或短节段刺激的技术。结果：175例患者中，93例（53.1%）被发现在韧带近端有局灶性卡压。结论：电诊断证据表明，在大量出现TTS临床体征和症状的患者中，有韧带近端区域局灶性神经卡压（HTTS）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.