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目的为阐明踝管综合症的发病原因,寻找最佳的治疗方法,提供解剖学基础资料。方法局部解剖成人踝部及足底16侧,观测有关踝管的构成;屈肌支持带(分裂韧带)的长度、宽度、厚度及其发出的纤维隔。结果踝管由屈肌支持带、内踝、距骨、跟骨、三角韧带和跟腱围成;屈肌支持带由足部深筋膜在内踝后下方增厚形成,从内踝向后下附着于从跟骨结节内侧突到跟骨后面上缘之间的跟骨内面,其长为(47.21±0.26)mm、中间部宽为(31.41±0.32)mm、厚度为(1.08±0.17)mm;屈肌支持带从踝管发出2片纤维隔,分别形成胫骨后肌腱和趾长屈肌腱的腱纤维鞘。结论有关踝管的构成与一般教课书上所描述的少有差异;屈肌支持带的厚度与踝管内压有一定关系;任何引起增加踝管内压力的因素都可直接或间接地引起踝管综合症的发生,治疗踝管综合症的最佳方法是手术切断屈肌支持带,显微外科手术松懈胫神经的神经束膜。
Objective To clarify the causes of ankle syndrome, find the best treatment, provide basic anatomy information. Methods Local ankle and foot plantar anatomy was performed on the adult side to observe the configuration of the ankle canal. The length, width and thickness of the flexor spondylolisthesis (split-ligament) and its septum were also observed. Results The ankle was surrounded by the flexor muscular support, the medial malleolus, the talus, the calcaneus, the trochanteric ligament and the Achilles tendon. The flexor musculature was formed by the thickening of the deep fascia in the posterior malleolus, The calcaneal nodule protrudes medial to the calcaneus medial face between the posterior edge of the calcaneus, with a length of (47.21 ± 0.26) mm, a median width of (31.41 ± 0.32) mm and a thickness of (1.08 ± 0.17) mm Musculotral support band issued from the ankle 2 fibrous septa, respectively, the formation of the tendon of the posterior tibial tendon flexor tendon fiber sheath. Conclusions The composition of the ankle canal is not significantly different from that described in the general teaching book. The thickness of the flexor muscle support band is related to the pressure in the ankle canal. Any factor that causes an increase in pressure in the ankle canal may directly or indirectly cause the ankle canal Syndrome, the best method for the treatment of ankle duct syndrome is surgery to cut off the flexor muscular support, microsurgical relaxation of the tibial nerve fascia.