腓骨隧道综合征(现代诊疗原则)

A. V. Yarikov, M. V. Shpagin, О. А. Perlmutter, A. P. Fraerman, E. F. Komkova, I. N. Nizhegolenko
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引用次数: 0

摘要

腓骨隧道综合征是下肢最常见的隧道综合征。腓神经受压导致运动和感觉障碍,表现为通常使足部和脚趾背屈的肌肉无力、步态异常和敏感性丧失。本文介绍了该病的病因、发病机制和临床表现。特别注意的是治疗这种病理的现代方法。腓总神经减压术是治疗腓骨隧道综合征的一种安全有效的方法。目前,大多数临床医生没有将临床表现与腓神经损伤联系起来,导致诊断错误,导致治疗策略不正确,长期降低患者的生活质量。
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Fibular tunnel syndrome (modern principles of diagnosis and treatment)
Fibular tunnel syndrome is the most common tunnel syndrome of the lower extremity. The compression of the peroneal nerve leads to motor and sensory disorders, which is manifested by weakness of the muscles that normally provide dorsiflexion of the foot and toes, abnormal gait, and loss of sensitivity. The paper presents the etiology, pathogenesis, and clinical picture of this disease. Particular attention is paid to modern methods of treating this pathology. Decompression of the common peroneal nerve is an effective and safe treatment for fibular tunnel syndrome. At the moment, the majority of clinicians do not associate the clinical manifestations with damage to the peroneal nerve, which leads to diagnostic errors and, as a result, to incorrect treatment tactics and a decrease in the patients’ quality of life for a long time.
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