scholarly journals Clinical manifestations, diagnosis, and surgical treatment of compressive common peroneal neuropathy at the level of the fibular head

2021 ◽  
Vol 13 (1) ◽  
pp. 18-23
Author(s):  
M. G. Bashlachev ◽  
G. Yu. Evzikov ◽  
V. A. Parfenov
Keyword(s):  
Surgical Treatment ◽  
Peroneal Nerve ◽  
Clinical Manifestations ◽  
Diagnostic Errors ◽  
Common Peroneal Nerve ◽  
Complete Recovery ◽  
Diagnosis And Treatment ◽  
Partial Recovery ◽  
Nerve Decompression ◽  
Peroneal Neuropathy

Common peroneal neuropathy (CPN) is the most common tunnel neuropathy in the lower extremities, many issues of diagnosis and treatment of which require further study.Objective: to analyze the clinical manifestations of CPN, methods of its diagnosis and treatment results.Patients and methods. Eighty patients (31 women and 49 men) aged 18 to 82 years (mean age, 51 years) with compressive CPN were followed up during 2012–2018. Unilateral CPN and bilateral CPN were found in 76 and 4 patients, respectively. Eighty-four common peroneal nerve decompression operations were performed.Results and discussion. There was paralytic CPN in 73 (87%) surgical cases, painful CPN in 8 (9.5%), and intermittent CPN in 3 (3.5%). Diagnostic errors (when CPN was regarded as discogenic radiculopathy or lumbar stenosis) were noted in the painful and intermittent forms of the disease. After surgical treatment, complete recovery of peroneal nerve function was observed in 61 (72.6%) of the 84 surgical cases; its partial recovery in 15 (17.9%). Positive results were seen in all cases of painful and intermittent CPN, whereas they were more often observed in paralytic CPN if the operation was performed early (up to 12 months) after the onset of the disease.Conclusion. Common peroneal nerve decompression is an effective and safe therapeutic method that, in painful and intermittent CPN, leads to complete reversal of symptoms and, in the paralytic form of the disease, it is most effective in the early stages of the disease.

scholarly journals Dynamic neuropathy of the common peroneal nerve at the level of the fibular head (literature review and case report)

2019 ◽  
Vol 21 (1) ◽  
pp. 54-59
Author(s):  
M. G. Bashlachev ◽  
G. Yu. Evzikov ◽  
V. A. Parfenov ◽  
N. B. Vuitsyk ◽  
F. V. Grebenev
Keyword(s):  
Ankle Joint ◽  
Peroneal Nerve ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Common Peroneal Nerve ◽  
Diagnostic Methods ◽  
Fibular Head ◽  
Study Objective ◽  
The Common ◽  
The Right

The study objective is to report a case of dynamic neuropathy of the common peroneal nerve at the level of the fibular head and to discuss diagnostic methods and neurosurgical treatment. Materials and methods. We report a case of dynamic neuropathy of the common peroneal nerve at the level of the fibular head in a female patient. The patient was treated in the Neurology Clinic of I.M. Sechenov First Moscow State Medical University. We analyzed clinical manifestations and compared them with the data described in research literature. Results. Upon admission, the patient complained of pain in the anterolateral surface of the right shin and in the dorsum of the foot during walking. At rest, the patient experienced no pain. We observed no motor or sensory disorders typical of nerve root disorders at the level of L5. Lasegue’s test was negative. The patient had a positive Tinel’s sign in the area of the right fibular head. In order to clarify the diagnosis, we performed a repeated extension test in the right ankle joint and it was positive. The patient underwent surgery that included peroneal nerve decompression and neurolysis at the level of the fibular head. In the postoperative period, the patient had complete pain relief. Conclusion. Due to the difficulties in the diagnostics of dynamic neuropathy of the common peroneal nerve, this disease is often mistaken for radiculopathy at the level of L5. Thorough clinical examination, testing for Tinel’s sign in the area of the fibular head, and repeated extension test in the ankle joint ensure the correct diagnosis and reduce the frequency of ineffective surgeries on the lumbar spine. Surgical decompression of the common peroneal nerve at the level of the fibular head with obligatory opening of the entrance to the nerve canal is an effective method of treatment in such patients.

scholarly journals Peroneal Nerve Palsy due to Bulky Osteochondroma from the Fibular Head: A Rare Case and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
T. Cherrad ◽  
M. Bennani ◽  
H. Zejjari ◽  
J. Louaste ◽  
L. Amhajji
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Complete Recovery ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Fibular Head ◽  
Success Rates ◽  
Proximal Fibula ◽  
Compressive Neuropathy

Common peroneal neuropathy is the most common compressive neuropathy in the lower extremities. The anatomical relationship of the fibular head with the peroneal nerve explains entrapment in this location. We report the case of a 14-year-old boy admitted with a left foot drop. The diagnosis was an osteochondroma of the proximal fibula compressing the common peroneal nerve. The patient underwent surgical decompression of the nerve and resection of the exostosis. Three months postoperatively, there was a complete recovery of the deficits. The association of osteochondroma and peroneal nerve palsy is rare. Early diagnosis is required in order to adjust the management and improve the results. It is worth to underscore that surgical resection is proven to be the appropriate treatment method ensuring high success rates.

Chronic relapsing inflammatory optic neuropathy: description of two clinical cases

2020 ◽  
Vol 26 (4) ◽  
pp. 116-121
Author(s):  
T.I. Nehrych ◽  
◽  
M.B. Kopchak ◽  
S.Ya. Kyryliuk ◽  
◽  
...  
Keyword(s):  
Optic Neuritis ◽  
Diagnostic Criteria ◽  
Optic Neuropathy ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Complete Recovery ◽  
Partial Recovery ◽  
Ophthalmological Examination ◽  
Brain And Spinal Cord ◽  
Clinical Cases

Aim. To study the features of the clinical course, diagnosis and treatment of chronic relapsing inflammatory optic neuropathy based on clinical cases. Materials and Methods. Clinical cases of chronic relapsing inflammatory optic neuropathy in two men are presented. The patients underwent neurological and ophthalmological examination, laboratory blood tests, testing of cerebrospinal fluid, magnetic resonance imaging of the brain and spinal cord, perimetry, ophtalmoscopy, optical coherence tomography, ultrasound examination of internal organs and of the branches of the aortic arch, and chest radiography. Results and Discussion. Two cases of chronic relapsing inflammatory optic neuropathy were described in two men aged 44 and 22 years. Episodes of recurrent optic neuritis, both unilateral and bilateral, were observed in patients; their vision improved after corticosteroid therapy. No etiological factors or comorbidities capable of causing the condition were identified. The older patient had 8 attacks of recurrent optic neuritis, with complete recovery of vision after therapy in seven cases, and partial recovery after the last relapse . The 22-year-old patient endured 5 episodes without complete recovery of vision after treatment. Based on the diagnostic criteria of chronic recurrent inflammatory optic neuropathy, this diagnosis was suspected in the patients. Conclusions. Chronic relapsing inflammatory optic neuropathy is a rare pathology whose clinical manifestations must meet diagnostic criteria. Patients with recurrent optic neuritis are to be well examined, in order to make a correct diagnosis and prescribe adequate therapy. Clinical manifestations of chronic relapsing inflammatory optic neuropathy tend to regress and stabilize against a background of immunosuppressive therapy. Keywords: chronic relapsing inflammatory optic neuropathy, clinical cases

Pediatric peroneal spastic flatfoot in the absence of coalition. A suggested protocol

1998 ◽  
Vol 88 (4) ◽  
pp. 181-191 ◽  
Author(s):  
LJ Lowy
Keyword(s):  
Nerve Block ◽  
Peroneal Nerve ◽  
Pediatric Patients ◽  
Common Peroneal Nerve ◽  
Diagnosis And Treatment ◽  
Diagnostic Challenge ◽  
Appropriate Treatment ◽  
The Common ◽  
Diagnostic Modalities

While most pediatric patients with peroneal spastic flatfoot demonstrate tarsal coalitions, not all do. The absence of coalition may present a diagnostic challenge and make appropriate treatment difficult. Past and present etiologic theories, diagnostic modalities, and treatments are outlined in this article. The common peroneal nerve block is of great value in the diagnosis and treatment of peroneal spastic flatfoot with or without coalition. With adjunctive treatments, increased motion and decreased symptomatology are often obtained. A protocol, applied to five cases described herein, is suggested.

Fibular Osteochondroma Presenting as Chronic Ankle Sprain

1995 ◽  
Vol 16 (4) ◽  
pp. 207-209 ◽  
Author(s):  
Bruce J. Montella ◽  
Dermot A. O'Farrell ◽  
Wm. Stephen Furr ◽  
John M. Harrelson
Keyword(s):  
Ankle Sprain ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Complete Recovery ◽  
Ankle Injury ◽  
Baseball Player ◽  
The Common ◽  
The Right

A 19-year-old baseball player was referred for assessment of recurrent sprains of the right ankle. This was found to be secondary to a palsy of the common peroneal nerve that was compressed by an osteochondroma of the fibular neck. The lesion was resected from the fibula and the patient made a complete recovery. We present this case as an example of a rare underlying problem in a patient who was initially diagnosed as having a sports-related ankle injury.

Common peroneal nerve decompression

2011 ◽  
Vol 81 (10) ◽  
pp. 707-712 ◽  
Author(s):  
Mahesh Ramanan ◽  
K. Nadana Chandran
Keyword(s):  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Nerve Decompression

Patient outcome after common peroneal nerve decompression

2007 ◽  
Vol 107 (2) ◽  
pp. 314-318 ◽  
Author(s):  
Douglas B. Humphreys ◽  
Christine B. Novak ◽  
Susan E. Mackinnon
Keyword(s):  
Patient Outcome ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Surgical Decompression ◽  
Sensory Function ◽  
Nerve Function ◽  
Preoperative Pain ◽  
Motor Weakness ◽  
Nerve Decompression ◽  
Sensory Disturbances

Object This study examines common peroneal nerve decompression and its effect on nerve function. Methods Fifty-one peroneal nerve decompressions were retrospectively reviewed. All patients were evaluated preoperatively and postoperatively for motor and sensory function of the peroneal nerve as well as for pain. Results Postoperatively, 40 (83%) of 48 patients who had preoperative motor weakness had improvement in motor function. Likewise, 23 (49%) of 47 patients who had sensory disturbances and 26 (84%) of 31 patients who had preoperative pain improved after surgical decompression of the peroneal nerve. Conclusions Common peroneal nerve decompression is a useful procedure to improve sensation and strength as well as to decrease pain.

Peroneal neuropathy after weight loss: a high-resolution ultrasonographic characterization of the common peroneal nerve

2011 ◽  
Vol 40 (12) ◽  
pp. 1557-1562 ◽  
Author(s):  
Liesbeth Meylaerts ◽  
Eline Cardinaels ◽  
Jan Vandevenne ◽  
Beatrijs Velghe ◽  
Geert Gelin ◽  
...  
Keyword(s):  
Weight Loss ◽  
High Resolution ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Peroneal Neuropathy ◽  
The Common
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