The diagnosis and treatment of tarsal tunnel syndrome caused by Kaschin-Beck disease
XUANZhao-peng, LIU Zhi-gang, MA Chun-ye. Department of Hand Surgery, the First Hospital of Jilin University, Changchun 130021, China
Objective To discuss the diagnosis and treatment of tarsal tunnel syndrome caused by Kaschin-Beck disease(KBD), and improve the level of treatment for this disease. Methods 25 cases with tarsal tunnel syndrome caused by KBD in recent 5 years were involved in this study. All the patients were treated by tarsal tunnel release, resection of synovial membrance and fibrous band, and osteophyte resection. Among the above patients, 2 cases, who were associated with pain within the region of the third metatarsal head, were treated with incision of the transverse intermetatarsal ligament around pain region and excision of metatarsal head and related nerve. Results Of the 19 patients who were followed up for 1 to 3 years postoperatively, pain and numbness in forefoot disappeared in 17, automatic nerve function returned to normal level in 16, pain and heat perception returned to normal in 14, the 2 point discrimination returned to normal in 10, and pain within metatarsal head region disappeared in 2, respectively. In addition, there were no recovery in plantar muscles atrophy and no anything return in 2 cases. Conclusions Tarsal tunnel syndrome caused by KBD could be effectively treated by release of tibial nerve and its branches with better prognosis, if under proper operation time.
【CateGory Index】： R684.1