Patient outcome after common peroneal nerve decompression

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.

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

Neurology neuropsychiatry Psychosomatics ◽

10.14412/2074-2711-2021-1-18-23 ◽

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.

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Intraneural Ganglion as the Cause of Compression-Ischemic Lesion of Peroneal Nerve in Children

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto20140376-80 ◽

2014 ◽

Vol 21 (3) ◽

pp. 76-80

Author(s):

V. N Merkulov ◽

Sh. D Imyarov ◽

A. I Dorokhin

Keyword(s):

Peroneal Nerve ◽

Surgical Intervention ◽

Nerve Lesion ◽

Nerve Function ◽

Intraneural Ganglion ◽

Ischemic Lesion ◽

Nerve Decompression ◽

Clinical Cases

Two clinical cases of peroneal nerve lesion (patients 13 and 16 years) resulted from intraneural ganglion are presented. It is shown that only radical surgical intervention including resection of tibiofibular junction, removal of communicating canal and nerve decompression using cyst dissection (Spinner technique) could prevent ganglion relapse. In first patient completely lost peroneal nerve function was restored by musculotendinous transposition.

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Common peroneal nerve decompression

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.2010.05607.x ◽

2011 ◽

Vol 81 (10) ◽

pp. 707-712 ◽

Cited By ~ 14

Author(s):

Mahesh Ramanan ◽

K. Nadana Chandran

Keyword(s):

Peroneal Nerve ◽

Common Peroneal Nerve ◽

Nerve Decompression

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Intraoperatives Monitoring der Funktion des Nervus peroneus bei Kniegelenkoperationen - Intra-Operative Monitoring of Common Peroneal Nerve Function During Surgery on the Knee Joint

Biomedical Engineering / Biomedizinische Technik ◽

10.1515/bmte.1998.43.11.326 ◽

1998 ◽

Vol 43 (11) ◽

pp. 326-329 ◽

Cited By ~ 1

Author(s):

H. Wissel ◽

W. Nebelung ◽

F. Awiszus

Keyword(s):

Knee Joint ◽

Peroneal Nerve ◽

Common Peroneal Nerve ◽

Nerve Function ◽

Intraoperatives Monitoring ◽

Operative Monitoring

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Intraneural Ganglion as the Cause of Compression-Ischemic Lesion of Peroneal Nerve in Children

N N Priorov Journal of Traumatology and Orthopedics ◽

10.32414/0869-8678-2014-3-76-80 ◽

2014 ◽

pp. 76-80 ◽

Cited By ~ 2

Author(s):

V. N. Merkulov ◽

Sh. D. Imyarov ◽

A. I. Dorokhin

Keyword(s):

Peroneal Nerve ◽

Surgical Intervention ◽

Nerve Lesion ◽

Nerve Function ◽

Intraneural Ganglion ◽

Ischemic Lesion ◽

Nerve Decompression ◽

Clinical Cases

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Acute Common Peroneal Nerve Decompression After Total Knee Arthroplasty

Orthopedics ◽

10.3928/01477447-20210618-17 ◽

2021 ◽

Vol 44 (4) ◽

Author(s):

David B. Johnson ◽

Kojo A. Marfo ◽

Christopher G. Zochowski ◽

Keith R. Berend ◽

Adolph V. Lombardi

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Peroneal Nerve ◽

Common Peroneal Nerve ◽

Nerve Decompression ◽

Total Knee

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Superficial peroneal nerve syndrome: an unusual nerve entrapment

Journal of Neurosurgery ◽

10.3171/jns.2006.104.5.820 ◽

2006 ◽

Vol 104 (5) ◽

pp. 820-823 ◽

Cited By ~ 35

Author(s):

Lynda J. S. Yang ◽

Vishal C. Gala ◽

John E. McGillicuddy

Keyword(s):

Peroneal Nerve ◽

Early Recognition ◽

Subcutaneous Tissue ◽

Surgical Decompression ◽

Nerve Entrapment ◽

Superficial Peroneal Nerve ◽

Motor Weakness ◽

Multiple Origins ◽

The Right ◽

The Cost

✓Lower-extremity pain and paresthesia have multiple origins. Early recognition of the symptoms of peripheral nerve entrapment leads to timely treatment and avoids the cost of unnecessary studies. The authors report on a case of superficial peroneal nerve syndrome resulting from nerve herniation through a fascial defect, which was responsive to surgical treatment. This 22-year-old man presented with pain and paresthesias over the lateral aspect of the right calf and the dorsum of the foot without motor weakness. Exercise led to the formation of a tender bulge approximately 12 cm above the lateral malleolus. Percussion of this site worsened his symptoms. Radiography and electromyography studies were nondiagnostic. The patient underwent surgical decompression that involved division of the fascia overlying the nerve and neurolysis of the superficial peroneal nerve. The operation resulted in symptom-free relief. Superficial peroneal nerve syndrome is an entrapment neuropathy that results from mechanical compression of the nerve at or near the point where the nerve pierces the fascia to travel within the subcutaneous tissue. Surgical decompression of the mechanical entrapment usually provides relief from pain and paresthesia.

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Ultrasound-guided diagnostic IPACK as a valuable tool in the management of a patient with soleal sling syndrome: a doubly rare case report

Pain Management ◽

10.2217/pmt-2020-0104 ◽

2021 ◽

Author(s):

Steven R Clendenen ◽

Guilherme Ferreira-Dos-Santos ◽

Mark Friedrich B Hurdle ◽

John Tran ◽

Anne MR Agur ◽

...

Keyword(s):

Peroneal Nerve ◽

Tibial Nerve ◽

Common Peroneal Nerve ◽

Left Knee ◽

Surgical Decompression ◽

Popliteal Fossa ◽

Ultrasound Guided ◽

Posterior Compartment ◽

Chronic Neuropathic Pain ◽

Rare Case Report

This article describes the use of an infiltration between the popliteal artery and capsule of the knee joint (IPACK) to diagnose an entrapment neuropathy of the tibial nerve (TN) in a patient presenting with chronic neuropathic pain in the medial posterior compartment of the left knee, with a previous electromyography showing no evidence of tibial or common peroneal nerve neuropathy. After a positive sciatic nerve block, the patient was evaluated for a TN block, cancelled due to the presence of an abnormal leash of vessels wrapping around the nerve. For this reason, the patient was submitted to a diagnostic IPACK. A negative IPACK suggested that a compression of the TN at the popliteal fossa was the most likely source of the symptoms. After surgical decompression of the TN nerve at the popliteal fossa, the patient’s symptoms decreased substantially.

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