Exertional anterolateral-compartment syndrome. Case report with fascial defect, muscle herniation, and superficial peroneal-nerve entrapment

AbstractWe present a patient with compartment syndrome and entrapment of the superficial peroneal nerve due to a direct hit to the lateral part of the right lower extremity. The diagnosis of evolving compartment syndrome was made without delay and the patient was quickly taken to the operating theater. Intraoperatively, the entrapment of the superficial peroneal nerve caused by rupture and herniation of the peroneus tertius muscle was surprisingly observed at the site, where the nerve pierces the anterior compartment. The nerve was successfully released in conjunction with fasciotomies of the anterior and lateral compartments. Meticulous diagnosis of compartment syndrome is critical to prevent ischemic injury to muscles and nerves. Recognition of anatomy and anatomical variations is important to prevent iatrogenic injury in unusual circumstances.

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Uncommon Development of Acute Isolated Lateral Leg Compartment Syndrome with Peroneus Longus Muscle Tear and Deep Peroneal Nerve Palsy: A Case Report.

The Bangkok Medical Journal ◽

10.31524/bkkmedj.2016.09.009 ◽

2016 ◽

Vol 12 (01) ◽

pp. 55-57

Author(s):

Worasak Jaichalad ◽

Oubonpun Werajong ◽

Supamongkol Mutchamee ◽

Jintana Hanthaweepun

Keyword(s):

Case Report ◽

Compartment Syndrome ◽

Peroneal Nerve ◽

Nerve Palsy ◽

Peroneal Nerve Palsy ◽

Deep Peroneal Nerve ◽

Peroneus Longus ◽

Longus Muscle ◽

Muscle Tear

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Multiple huge ancient neurilemmomas arising from superficial peroneal nerve: a case report

European Journal of Plastic Surgery ◽

10.1007/s00238-020-01774-1 ◽

2021 ◽

Author(s):

Rajesh S. Powar ◽

Kiran S. Mahapure ◽

Saipriya Natrajan

Keyword(s):

Case Report ◽

Peroneal Nerve ◽

Superficial Peroneal Nerve

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Circumflex Accessory Branch of the Superficial Fibular Nerve: An Unusual Cause of Nerve Entrapment

Journal of the American Podiatric Medical Association ◽

10.7547/20-122 ◽

2021 ◽

Vol 111 (3) ◽

Author(s):

Patrick A. McEneaney ◽

Joseph D. Rundell ◽

Douglas P. Pacaccio ◽

Thomas S. Nordquist

Keyword(s):

Case Report ◽

Peroneal Nerve ◽

Surgical Excision ◽

Lower Leg ◽

Nerve Entrapment ◽

Deep Fascia ◽

Secondary Branch ◽

Tertiary Branch ◽

Fibular Nerve ◽

Superficial Fibular Nerve

The superficial fibular (peroneal) nerve traditionally courses through the anterolateral deep leg and pierces the deep crural fascia at the lower leg to divide into its terminal branches. Entrapment of the superficial fibular nerve is most commonly documented to occur at where it pierces the deep fascia, and numerous etiologies causing entrapment are described. In this case report, we describe an unusual cause of entrapment from a tertiary branch of the superficial fibular nerve taking a circumflex course and wrapping around the secondary branch of the main nerve. This was successfully treated by surgical excision. To the best of our knowledge, this cause of entrapment has not been described in the literature at the time of this publication.

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Superficial peroneal nerve entrapment

Journal of Neurosurgery ◽

10.3171/jns.1981.55.6.0991 ◽

1981 ◽

Vol 55 (6) ◽

pp. 991-992 ◽

Cited By ~ 39

Author(s):

Timir Banerjee ◽

Dexter D. Koons

Keyword(s):

Differential Diagnosis ◽

Peroneal Nerve ◽

Nerve Entrapment ◽

Leg Pain ◽

Superficial Peroneal Nerve ◽

Content Type ◽

Fine Print

✓ Two cases of entrapment of the superficial peroneal nerve are presented. This is an unusual cause for leg discomfort and should be considered in the differential diagnosis of leg pain.

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