关键词: assessment return-to-work tarsal tunnel syndrome

Mesh : Male Humans Adult Tarsal Tunnel Syndrome / diagnosis surgery etiology Return to Work Indonesia Tibial Nerve / physiology surgery

来  源:   DOI:10.7888/juoeh.46.29

Abstract:
Tarsal tunnel syndrome (TTS) is a nerve entrapment of the posterior tibial nerve. This uncommon condition frequently goes undiagnosed or misdiagnosed even though it interferes with the daily activities of workers. Here we discuss the return to work status of a 37-year-old male patient who manages a manufacturing plant. He was identified as having Tarsal Tunnel Syndrome as a result of a foot abnormality and improper shoe wear. He had moderate pes planus and underwent tarsal tunnel release on his right foot. What are the determinant factors in defining a patient\'s status for returning to work after a tarsal tunnel release? We conducted a literature review using PubMed, Science Direct, and Cochrane. The Indonesian Occupational Medicine Association used the seven-step return-to-work assessment as a protocol to avoid overlooking the process. Duration of symptoms, associated pathology, and the presence of structural foot problems or a space-occupying lesion are factors affecting outcome. Post-operative foot scores, including Maryland Foot Score (MFS), VAS, and Foot Function Index, can be used to evaluate patient outcomes. Early disability limitation and a thorough return-to-work assessment are needed.
摘要:
tr管综合征(TTS)是胫后神经的神经卡压。这种罕见的情况经常无法诊断或误诊,即使它干扰了工人的日常活动。在这里,我们讨论管理制造工厂的37岁男性患者的恢复工作状态。由于脚部异常和鞋子磨损不当,他被确定患有tarsal隧道综合症。他有中度的pes平面,右脚接受了tel骨隧道释放。确定患者在骨隧道释放后重返工作岗位的状态的决定因素是什么?我们使用PubMed进行了文献综述,科学直接,还有Cochrane.印度尼西亚职业医学协会使用七步返回工作评估作为协议,以避免忽视这一过程。症状持续时间,相关病理学,结构性足部问题或占位病变的存在是影响预后的因素。术后足部评分,包括马里兰脚评分(MFS),VAS,和脚函数索引,可用于评估患者的预后。需要早期限制残疾和全面的重返工作评估。
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