部队前跗管综合征的发病特点及防治

Anterior tarsal tunnel syndrome in military training: characteristics, prevention and treatment

目的 :探讨军事训练所致的前跗管综合征的发病特点及防治。方法 :结合对某部 5 82 4名战士训练伤调查结果 ,对 32例军事训练后发生的前跗管综合征的致病因素进行分析 ,提出了防治方法。结果 :部队前跗管综合征的发病因素主要是训练导致的足踝部扭伤 (12例 ) ,以及跑、跳训练后足背水肿 (9例 ) ,其次是训练时鞋袜过紧 (6例 )、足踝部骨折、骨质增生 (3例 ) ,不明原因 (2例 )。预防主要是防止和及时治疗足踝部的损伤 ,其次应穿着合适的鞋袜。治疗以去除病因及非手术治疗为主。结论 :军事训练中前跗管综合征的发病率占 2 .6 %。早期诊断并及时治疗十分重要 。

Objective:To investigate the distinctive feature of anterior tarsal tunnel syndrome (ATTS) as well as its prevention and treatment. Methods:In conjunction with the findings of 5 824 soldiers who injured during the military training, the causal factors in 32 soldiers with ATTS after military training were analyzed and some methods for prevention and treatment were raised. Results:The leading causes of ATTS in the military training were sprain of ankle ( n =12) and dorsal swelling caused by running or jumping ( n =9); the secondary causes were the excessive tightness of shoes or socks ( n =6), fracture of malleolus or hyperosteogeny ( n =3), and unknown causes ( n =2). The preventive measures were mainly preventing ankle injury and cured it in time and also put on fit shoes and socks. The treatment was mainly to removal of pathogeny and to use non operative approach. Conclusion: The incidence of ATTS in the military training is 2.6%. Early diagnosis and treated in time are very important, and most of ATTS may avoid surgical operations. \[