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TARSAL TUNNEL SENDROMU TEDAVİ SEÇENEKLERİ VE CERRAHİ MÜDAHALE SONUÇLARININ İNCELENMESİ

Yıl 2019, Cilt: 26 Sayı: 1, 67 - 71, 04.03.2019
https://doi.org/10.17343/sdutfd.460019

Öz

Giriş: Posterior tibial sinirin veya dallarının medial malleol ve retinaculum
arasında tuzaklanması sonucu oluşan tursal tunnel sendromu ikinci en sık
gözlenen periferik sinir nöropatisidir. Çalışmamızda kliniğimize başvuran
tarsal tunnel sendromu bulunan hastalarda cerrahi tedavi öncesi ve sonrası
semptomlarında değişiklikler incelenmiştir.



Bulgular: Postoperatif VAS skorunun her iki cinstede preoperatif
skorlara göre anlamlı bir şekilde düşük olduğu izlendi. Ancak cinsiyetler arası
sağ ve sol tuzaklanma arasında bir farklılık gözlenmedi. Etyolojik çeşitliliğin
cerrahi tedavi sonuçlarına etkisi izlenmedi.



Sonuç: Tarsal Tunnel Sendromu bulunan hastalara cerrahi tedavi uygulandığında
semptomlarda anlamlı ölçüde düzelme olmaktadır. Diabet hastalığı olan
hastalarda iyileşme daha geç izlenmektedir.

Kaynakça

  • 1. Cimino WR. Tarsal tunnel syndrome: review of the literature. Foot Ankle. 1990 Aug;11(1):47–52. 2. Ahmad M, Tsang K, Mackenney PJ, Adedapo AO. Tarsal tunnel syndrome: A literature review. Foot Ankle Surg. 2012 Sep;18(3):149–52. 3. KIM K, ISU T, MORIMOTO D, SASAMORI T, SUGAWARA A, CHIBA Y, et al. Neurovascular Bundle Decompression without Excessive Dissection for Tarsal Tunnel Syndrome. Neurol Med Chir (Tokyo). 2014;54(11):901–6. 4. Keck C. The tarsal-tunnel syndrome. J Bone Jt Surg. 1962;44:1354–5. 5. LAM SJ. A tarsal-tunnel syndrome. Lancet (London, England). 1962 Dec;2(7270):1354–5. 6. Kohno M, Takahashi H, Segawa H, Sano K. Neurovascular decompression for idiopathic tarsal tunnel syndrome: technical note. J Neurol Neurosurg Psychiatry. 2000 Jul;69(1):87–90. 7. Takakura Y, Kitada C, Sugimoto K, Tanaka Y, Tamai S. Tarsal tunnel syndrome. Causes and results of operative treatment. J Bone Joint Surg Br. 1991 Jan;73(1):125–8. 8. Gould N, Alvarez R. Bilateral tarsal tunnel syndrome caused by varicosities. Foot Ankle. 1983;3(5):290–2. 9. Matricali B. Tarsal tunnel syndrome caused by ganglion compression. J Neurosurg Sci. 1980;24(3–4):183–5. 10. Park TA, Del Toro DR. The medial calcaneal nerve: anatomy and nerve conduction technique. Muscle Nerve. 1995 Jan;18(1):32–8. 11. Reichert P, Zimmer K, Wnukiewicz W, Kulinski S, Mazurek P, Gosk J. Results of surgical treatment of tarsal tunnel syndrome. Foot Ankle Surg. 2015 Mar;21(1):26–9. 12. Kaplan PE, Kernahan WTJ. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. J Bone Joint Surg Am. 1981 Jan;63(1):96–9. 13. Oh SJ, Arnold TW, Park KH, Kim DE. Electrophysiological improvement following decompression surgery in tarsal tunnel syndrome. Muscle Nerve. 1991 May;14(5):407—410. 14. Jackson DL, Haglund B. Tarsal tunnel syndrome in athletes. Case reports and literature review. Am J Sports Med. 1991;19(1):61–5. 15. Pfeiffer WH, Cracchiolo A 3rd. Clinical results after tarsal tunnel decompression. J Bone Joint Surg Am. 1994 Aug;76(8):1222–30. 16. Ferraresi S, Leidi P, Leidi M, Ubiali E, Bortolotti G, Cassinari V. Tarsal tunnel syndrome. Report of a case and review of clinical and surgical aspects. Ital J Neurol Sci. 1992 Feb;13(1):47–51. 17. Reichert P, Zimmer K, Wnukiewicz W, Kuliński S, Mazurek P, Gosk J. Results of surgical treatment of tarsal tunnel syndrome. Foot Ankle Surg. 2015;21(1):26–9. 18. Singh SK, Wilson MG, Chiodo CP. The surgical treatment of tarsal tunnel syndrome. Foot. 2005;15(4):212–6. 19. Knobloch K, Gohritz G, Vogt PM. [Surgical decompression of the lower leg in painful diabetic polyneuropathy]. Oper Orthop Traumatol. 2012 Feb;24(1):74–9. 20. Oh S, Meyer R. Entrapment neuropathies of the tibial nerve. Neurol Clin. 1999;17:593–615. 21. Baba H, Wada M, Annen S, Azuchi M, Imura S, Tomita K. The tarsal tunnel syndrome: evaluation of surgical results using multivariate analysis. Int Orthop. 1997;21(2):67–71.

THE TREATMENT OPTIONS OF TARSAL TUNNEL SYNDROME AND THE RESAULTS OF SURGICAL THERAPY

Yıl 2019, Cilt: 26 Sayı: 1, 67 - 71, 04.03.2019
https://doi.org/10.17343/sdutfd.460019

Öz

The tarsal tunnel syndrome, caused by the entrapment
of posterior tibail nerve and the branches, is the second most common
peripheral neuropathy. Our study has aimed to compare the differences between
preoperative and the postoperative symptoms of tarsal tunnel syndrome.

Results: It is observed that
the postoperative VAS score was significantly less than the preoperative VAS scores.
There was no difference of VAS scores between both sexes.





Conclusion: The symptoms of the
tarsal tunnel syndrome decrease significantly after the surgical treatment. The
recovery advances more gradually at the patients who has diabetes.

Kaynakça

  • 1. Cimino WR. Tarsal tunnel syndrome: review of the literature. Foot Ankle. 1990 Aug;11(1):47–52. 2. Ahmad M, Tsang K, Mackenney PJ, Adedapo AO. Tarsal tunnel syndrome: A literature review. Foot Ankle Surg. 2012 Sep;18(3):149–52. 3. KIM K, ISU T, MORIMOTO D, SASAMORI T, SUGAWARA A, CHIBA Y, et al. Neurovascular Bundle Decompression without Excessive Dissection for Tarsal Tunnel Syndrome. Neurol Med Chir (Tokyo). 2014;54(11):901–6. 4. Keck C. The tarsal-tunnel syndrome. J Bone Jt Surg. 1962;44:1354–5. 5. LAM SJ. A tarsal-tunnel syndrome. Lancet (London, England). 1962 Dec;2(7270):1354–5. 6. Kohno M, Takahashi H, Segawa H, Sano K. Neurovascular decompression for idiopathic tarsal tunnel syndrome: technical note. J Neurol Neurosurg Psychiatry. 2000 Jul;69(1):87–90. 7. Takakura Y, Kitada C, Sugimoto K, Tanaka Y, Tamai S. Tarsal tunnel syndrome. Causes and results of operative treatment. J Bone Joint Surg Br. 1991 Jan;73(1):125–8. 8. Gould N, Alvarez R. Bilateral tarsal tunnel syndrome caused by varicosities. Foot Ankle. 1983;3(5):290–2. 9. Matricali B. Tarsal tunnel syndrome caused by ganglion compression. J Neurosurg Sci. 1980;24(3–4):183–5. 10. Park TA, Del Toro DR. The medial calcaneal nerve: anatomy and nerve conduction technique. Muscle Nerve. 1995 Jan;18(1):32–8. 11. Reichert P, Zimmer K, Wnukiewicz W, Kulinski S, Mazurek P, Gosk J. Results of surgical treatment of tarsal tunnel syndrome. Foot Ankle Surg. 2015 Mar;21(1):26–9. 12. Kaplan PE, Kernahan WTJ. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. J Bone Joint Surg Am. 1981 Jan;63(1):96–9. 13. Oh SJ, Arnold TW, Park KH, Kim DE. Electrophysiological improvement following decompression surgery in tarsal tunnel syndrome. Muscle Nerve. 1991 May;14(5):407—410. 14. Jackson DL, Haglund B. Tarsal tunnel syndrome in athletes. Case reports and literature review. Am J Sports Med. 1991;19(1):61–5. 15. Pfeiffer WH, Cracchiolo A 3rd. Clinical results after tarsal tunnel decompression. J Bone Joint Surg Am. 1994 Aug;76(8):1222–30. 16. Ferraresi S, Leidi P, Leidi M, Ubiali E, Bortolotti G, Cassinari V. Tarsal tunnel syndrome. Report of a case and review of clinical and surgical aspects. Ital J Neurol Sci. 1992 Feb;13(1):47–51. 17. Reichert P, Zimmer K, Wnukiewicz W, Kuliński S, Mazurek P, Gosk J. Results of surgical treatment of tarsal tunnel syndrome. Foot Ankle Surg. 2015;21(1):26–9. 18. Singh SK, Wilson MG, Chiodo CP. The surgical treatment of tarsal tunnel syndrome. Foot. 2005;15(4):212–6. 19. Knobloch K, Gohritz G, Vogt PM. [Surgical decompression of the lower leg in painful diabetic polyneuropathy]. Oper Orthop Traumatol. 2012 Feb;24(1):74–9. 20. Oh S, Meyer R. Entrapment neuropathies of the tibial nerve. Neurol Clin. 1999;17:593–615. 21. Baba H, Wada M, Annen S, Azuchi M, Imura S, Tomita K. The tarsal tunnel syndrome: evaluation of surgical results using multivariate analysis. Int Orthop. 1997;21(2):67–71.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makaleleri
Yazarlar

Kemal Ertilav

Zeki Serdar Ataizi

Serdar Ercan

Yayımlanma Tarihi 4 Mart 2019
Gönderilme Tarihi 14 Eylül 2018
Kabul Tarihi 6 Kasım 2018
Yayımlandığı Sayı Yıl 2019 Cilt: 26 Sayı: 1

Kaynak Göster

Vancouver Ertilav K, Ataizi ZS, Ercan S. TARSAL TUNNEL SENDROMU TEDAVİ SEÇENEKLERİ VE CERRAHİ MÜDAHALE SONUÇLARININ İNCELENMESİ. SDÜ Tıp Fak Derg. 2019;26(1):67-71.

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