■颅骨隧道综合征,也被称为胫骨后神经痛,是胫后神经或其分支之一的压迫性神经病(跟骨,足底外侧或足底内侧神经)在骨隧道内。本范围审查旨在系统地绘制和总结有关tal管综合征管理的现有文献。
■PubMed,Embase,Emcare,Medline和Cinahl使用术语“tarsal隧道”进行了搜索,\'综合征\',\'诱捕\',\'压缩\',\'胫骨后\',“神经病”和“神经痛”。进行两阶段标题摘要筛选。纳入了观察性研究,报告了骨隧道综合征的治疗结果。
■共32项研究纳入本综述。75.3%的病例表现优异或良好,其余(24.7%)取得公平或不良结果。可能影响结果的因素包括患者年龄,症状持续时间,病因学,合并症,治疗前症状严重程度和神经纤维化。
■尽管在大多数情况下都看到了有利的结果,糟糕的结果并不少见。确定了一系列预后因素;然而,不能从个别低质量研究的结果中得出确切的结论。确定预后因素的进一步研究可能有助于临床决策和患者期望的管理。
■四级范围审查。
UNASSIGNED: Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is a compressive neuropathy of the posterior tibial nerve or one of its divisions (calcaneal, lateral plantar or medial plantar nerve) within the tarsal tunnel. This scoping review aims to systematically map and summarise current literature regarding the management of tarsal tunnel syndrome.
UNASSIGNED: PubMed, Embase, Emcare, Medline and Cinahl were searched using the terms \'tarsal tunnel\', \'syndrome\', \'entrapment\', \'compression\', \'posterior tibial\', \'neuropathy\' and \'neuralgia. Two stage title abstract screening was performed. Observational studies reporting the outcome of treatment of tarsal tunnel syndrome were included.
UNASSIGNED: A total of 32 studies were included in the review. Excellent or good results are seen in 75.3 % of cases, with the remainder (24.7 %) achieving fair or poor outcomes. Factors which may influence outcome include patient age, symptom duration, aetiology, co-morbidities, pre-treatment symptom severity and nerve fibrosis.
UNASSIGNED: Although favourable outcomes are seen in the majority of cases, poor results are not uncommon. A range of prognostic factors are identified; however, firm conclusions cannot be drawn from the findings of individual low-quality studies. Further research in identifying prognostic factors may aid in clinical decision making and management of patient expectations.
UNASSIGNED: Level IV Scoping review.