족근관 증후군에서의 신경 전도 검사의 효용성 = The Efficacy of Nerve Conduction Study on Tarsal Tunnel Syndrome

다국어 초록 (Multilingual Abstract)

Purpose: Nerve conduction study (NCS) test is a standard diagnostic study of the tarsal tunnel syndrome. The purpose of this study was to determine the relation between the results of the NCS and postoperative clinical results. Materials and Methods: From June 2004 to July 2015, 104 patients were diagnosed with tarsal tunnel syndrome and treated surgically. Of 104 patients diagnosed through NCS preoperatively and postoperatively, 41 patients were included in this study. There were 23 male and 18 female patients with mean age of 49.2 years old and the average follow-up period was 15.5 months. NCS, pain visual analogue scale (VAS) score, and subjective satisfaction were examined preoperatively and postoperatively. Results: On the preoperative NCS, 32 patients (78.0%) were positive and 9 patients (22.0%) were negative, and 32 positive NCS patients consisted of 9 positive (28.1%), 16 improved (50.0%), and 7 negative (21.9%) postoperatively. VAS score was 7.4 preoperatively and 4.4 postoperatively. According to satisfaction, there were 8 excellent (19.5%), 21 good (51.2%), 6 fair (14.6%), and 6 poor (14.6%) patients. For 32 patients who were positive on the preoperative NCS, the postoperative VAS score was 4.87 and there were 7 excellent (21.9%), 16 good (50.0%), 4 fair (12.5%), and 5 poor (15.6%) patients. Sixteen patients were negative on the postoperative NCS, with a VAS score of 3.75, 1 excellent (6.3%), 11 good (68.8%), 2 fair (12.5%), and 2 poor (12.5%). There was no statistical correlation between the preoperative NCS and postoperative VAS score (p=0.10), between preoperative NCS and postoperative satisfaction (p=0.799), between preoperative NCS and postoperative VAS score (p=0.487), and between postoperative NCS and postoperative satisfaction (p=0.251). Conclusion: For patients diagnosed with tarsal tunnel syndrome and treated surgically, NCS showed little correlation with postoperative result.

참고문헌 (Reference)

1 Goodgold J, "The tarsal-tunnel syndrome. Objective diagnostic criteria" 273 : 742-745, 1965

2 Oh SJ, "The near-nerve sensory nerve conduction in tarsal tunnel syndrome" 48 : 999-1003, 1985

3 Kinoshita M, "The dorsiflexion-eversion test for diagnosis of tarsal tunnel syndrome" 83 : 1835-1839, 2001

4 Sugimoto K, "Tenosynovial osteochondromatosis of the tarsal tunnel" 32 : 99-102, 2003

5 DiStefano V, "Tarsal-tunnel syndrome. Review of the literature and two case reports" 88 : 76-79, 1972

6 Takakura Y, "Tarsal tunnel syndrome. Causes and results of operative treatment" 73 : 125-128, 1991

7 Tsai CC, "Tarsal tunnel syndrome secondary to neurilemoma--a case report" 17 : 216-220, 2001

8 Olivieri I, "Tarsal tunnel syndrome in seronegative spondyloarthropathy" 28 : 537-539, 1989

9 Takakura Y, "Tarsal tunnel syndrome caused by coalition associated with a ganglion" 80 : 130-133, 1998

10 Stefko RM, "Tarsal tunnel syndrome caused by an unrecognized fracture of the posterior process of the talus (Cedell fracture). A case report" 76 : 116-118, 1994

11 Sammarco GJ, "Tarsal tunnel syndrome caused by an anomalous muscle" 76 : 1308-1314, 1994

12 Sekiya H, "Tarsal tunnel syndrome caused by a talocalcaneal joint amyloidoma in a long-term haemodialysis patient : a case report" 14 : 350-353, 2006

13 Rodriguez D, "Tarsal tunnel syndrome and flexor hallucis longus tendon hypertrophy" 96 : 829-831, 2010

14 Cimino WR, "Tarsal tunnel syndrome : review of the literature" 11 : 47-52, 1990

15 Lau JT, "Tarsal tunnel syndrome : a review of the literature" 20 : 201-209, 1999

16 Reade BM, "Tarsal tunnel syndrome" 18 : 395-408, 2001

17 Kim DH, "Surgical management and results of 135 tibial nerve lesions at the Louisiana State University Health Sciences Center" 53 : 1114-1124, 2003

18 Dumitru D, "Somatosensory evoked potentials of the medial and lateral plantar and calcaneal nerves" 14 : 665-671, 1991

19 Le Quesne PM, "Recovery of conduction velocity distal to a compressive lesion" 37 : 1346-1351, 1974

20 Lee CH, "Prognostic ability of Tinel sign in determining outcome for decompression surgery in diabetic and nondiabetic neuropathy" 53 : 523-527, 2004

21 Baylan SP, "Prevalence of the tarsal tunnel syndrome in rheumatoid arthritis" 20 : 148-150, 1981

22 Sammarco GJ, "Outcome of surgical treatment of tarsal tunnel syndrome" 24 : 125-131, 2003

23 Manasseh N, "Malunited calcaneal fracture fragments causing tarsal tunnel syndrome : a rare cause" 15 : 207-209, 2009

24 Frey C, "Magnetic resonance imaging and the evaluation of tarsal tunnel syndrome" 14 : 159-164, 1993

25 Myerson M, "Lipoma as an etiology of tarsal tunnel syndrome : a report of two cases" 10 : 176-179, 1989

26 Oh SJ, "Electrophysiological improvement following decompression surgery in tarsal tunnel syndrome" 14 : 407-410, 1991

27 Pfeiffer WH, "Clinical results after tarsal tunnel decompression" 76 : 1222-1230, 1994

28 Gondring WH, "An outcomes analysis of surgical treatment of tarsal tunnel syndrome" 24 : 545-550, 2003

29 Felsenthal G, "Across-tarsal-tunnel motor-nerve conduction technique" 73 : 64-69, 1992