Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Efficacy of Nerve Conduction Study on Tarsal Tunnel Syndrome

족근관 증후군에서의 신경 전도 검사의 효용성

  • Yoon, Ji-Young (Department of Orthopedic Surgery, Gil Medical Center, Gachon University) ;
  • Lee, Kyung-Chan (Department of Orthopedic Surgery, Gil Medical Center, Gachon University) ;
  • Oh, Won-Seok (Department of Orthopedic Surgery, Gil Medical Center, Gachon University) ;
  • Hong, Jin-Hun (Department of Orthopedic Surgery, Gil Medical Center, Gachon University) ;
  • Kwak, Ji-Hoon (Department of Orthopedic Surgery, Gil Medical Center, Gachon University) ;
  • Park, Hong-Ki (Department of Orthopedic Surgery, Gil Medical Center, Gachon University)
  • 윤지영 (가천대학교 길병원 정형외과학교실) ;
  • 이경찬 (가천대학교 길병원 정형외과학교실) ;
  • 오원석 (가천대학교 길병원 정형외과학교실) ;
  • 홍진헌 (가천대학교 길병원 정형외과학교실) ;
  • 곽지훈 (가천대학교 길병원 정형외과학교실) ;
  • 박홍기 (가천대학교 길병원 정형외과학교실)
  • Received : 2015.11.14
  • Accepted : 2016.02.15
  • Published : 2016.03.15
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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.

Keywords

References

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