RU2288666C1 - Method for conservative treatment of tenoperoneal canal's syndrome - Google Patents

Abstract

FIELD: medicine, orthopedics, neurology.

SUBSTANCE: one should fulfill medicinal blockades in plantar points: the first point should be established in the middle of the upper line coming from posterior surface of external ankle's top up to the most protruding backwards point of heel bone's tuber. Another point should be determined on the line applied below from posterior surface of external ankles' top at the angle of 45° against the upper line, at the distance against posterior surface of external ankle's top being equal to the sector against this ankle up to median point of the upper line. The innovation enables to provide efficient anesthesia due to applying local injection therapy.

EFFECT: higher efficiency of therapy.

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Description

The invention relates to medicine, in particular to orthopedics, and can be used in the treatment of patients with tenoperoneal syndrome.

There is a method of conservative treatment of stenosis of the tendon canals of the extensor retinitis using local injection steroid therapy [1, 2, 3, 5]. For the treatment of tenoperoneal canal syndrome, local injection steroid therapy was not used.

A known method of surgical treatment of tenoperoneal canal syndrome [4].

A method for conservative treatment of tenoperoneal canal syndrome using local injectable steroid therapy is proposed.

The drawing shows a diagram for determining anatomical landmarks for the implementation of therapeutic drug blockades in patients with tenoperoneal canal syndrome.

The method is as follows.

On the foot of a patient with tenoperonenal canal syndrome, points are outlined: the posterior surface of the apex of the outer ankle 1, the most prominent posterior point of the calcaneal tubercle 2 [6]. An upper reference line 3 is drawn from the posterior surface of the tip of the outer ankle 1 to the most posteriorly protruding point of the calcaneus tubercle 2. The foot is set at right angles to the axis of the lower leg. On the upper reference line 3, the upper midpoint 4 is determined, which is located at an equal distance from the rear surface of the tip of the outer ankle 1 and the most protruding posterior point of the calcaneus tubercle 2. From the rear surface of the tip of the outer ankle 1, a lower line is drawn at an angle of 45 ° to the upper reference line 3 reference line 5, on which the segment is set aside, equal to the distance from the rear surface of the top of the outer ankle 1 to the upper midpoint 4. Thus, the lower among current point 6.

After appropriate treatment of the skin, 30 mg of Kenalog 40 solution is injected perpendicularly to the skin surface at the upper midpoint 4 and the lower midpoint 6. Conventional drug treatment is performed simultaneously with local steroid injection.

Example. Patient Z., 34 years old, complained of pain on the outer surface of the left ankle joint, aggravated after physical exertion and radiating in the proximal and distal directions. After examination, the patient was diagnosed with Tenoperoneal canal syndrome on the left. On the day of the initial treatment, the patient underwent two therapeutic drug blockades of 30 mg of Kenalog 40 solution at the points determined by the above method. In addition, therapy was prescribed: injections of B vitamins, proserin 0.05% - 1.0 ml No. 10, aloe 1.0 ml No. 10, diclofenac 3.0 ml No. 5 v / m, electrophoresis with novocaine No. 10 . After 10 days, there was a complete clinical recovery.

Literature:

1. Ashkenazi A.I. Hand surgery - M .: Medicine, 1990. - 351 p.

2. Gorbunov V.P. Stenosing ligamentitis of the back of the wrist and ring-shaped ligaments of the fingers. - Medgiz, Leningrad branch, 1956.- 70 p.

3. Grazianskaya L.N., Elkin M.A. Occupational diseases of the extremities from functional overstrain. - L .: Medicine, 1984. - 166 p.

4. Marine I.M. Surgical treatment of stenosis of the tenoperoneal canal caused by hyperplasia of the fibula of the calcaneus. // Orthopedist, traumatol. - 1989. - No. 10. - p. 52-53.

5. Elkin M.A., Lee A.D. Stenosing ligamentitis of the wrist and fingers. - L .: Medicine, 1968. - 100 p.

6. Klyuchevsky VV Skeletal traction. - M .: Medicine, 1991 .-- p.20.

Claims (1)

A method of conservative treatment of tenoperoneal canal syndrome, including therapeutic medical blockades, characterized in that the blockades are made at points, one of which is determined in the middle of the upper line, passing from the back surface of the tip of the outer ankle to the most protruding posterior point of the calcaneal tubercle, and the other on the line drawn below, from the back surface of the tip of the outer ankle at an angle of 45 ° to the top line, at a distance from the back surface of the tip of the outer ankle, equal to the segment t of the ankle to the midpoint of the top line.