The compression syndrome of the third common plantar digital nerves
10.3969/j.issn.1003-0034.2001.03.005
- VernacularTitle:第三趾底总神经卡压综合征
- Author:
Ming-Zuo LI
1
;
Ming CUI
;
Lin-Kang WU
Author Information
1. Rihui Hospital
- From:
China Journal of Orthopaedics and Traumatology
2001;14(3):141-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the pathogenesis,diagnosis and treatment of the compression syndrome of the third common plantar digital nerves.Methods Conservative methods were at first used for all the 34 cases of this disease.Treatment methods includes:wearing shoes with soft bottom and metatarsal pad;the administration of Chinese herbs;the application of direct current iontherapy by filtering Chinese herbs and performing local injection therapy with steroid at the tenderness points.15 patients with no effect following conservative methods and other 3 recurrent cases were treated with section of deep transverse metatarsal ligament and relaxing the nerves compression.Of the 18 cases,5 had additional to excision of the neuroma.Results Of the 34 cases treated with conservative methods,19 had effective results,of which 6 cases recurred,and 15 cases had no effect.18 cases treated with operation had no recurrence.Conclusion Toe extending test and forefoot transversely compressing test provide a valuable basis for diagnosis.Conservative treatment are usually effective in earlier phase.If conservative treatment is not effective,the transverse metatarsal ligament should be sectioned,nerves should be relaxed and the neuroma must be excised.The results of operative treatment are satisfactory.
