The necessity to use microsurgical methods and intraoperative monitoring during pathology in tarsal tunnel. Technical report

Autor: Jarosław Andrychowski, Dorota Koziel, Beata Szczepanowska-Wolowiec, Krzysztof Dzięgiel
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Studia Medyczne, Vol 36, Iss 3, Pp 235-238 (2020)
Druh dokumentu: article
ISSN: 1899-1874
2300-6722
DOI: 10.5114/ms.2020.99555
Popis: A Schwannoma tumour located in the posterior tibial nerve in the tarsal tunnel is extremely rare [1–10], and hence surgery of this pathology also occurs rarely. Schwannoma within the foot, causing pain syndrome, requires differentiation from Morton’s metatarsalgia [11]. There are several such cases of surgeries during the 20-year period described in the literature, but intraoperative monitoring techniques and microsurgery are still only an option. Due to the anatomical relationship, nerve vascular supply [12–15] and muscle functions innervated by the tibial nerve, related to the support, foot arch, and effect on the movement pattern [16, 17]. The surgical technique should use methods of microsurgical dissection and intraoperative neurophysiological monitoring in order to ensure safe surgery.
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