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Decompression of the common peroneal nerve: experience with 20 consecutive cases.
Plast Reconstr Surg. 2001 Apr 15; 107(5):1183-9.PR

Abstract

A retrospective review of 20 patients with common peroneal nerve palsy treated with decompression between 1986 and 1997 was undertaken. Subjects were evaluated preoperatively and postoperatively by electromyography, nerve conduction, and clinical measures. The mean interval between the onset of symptoms to surgery (operative delay) was 15.9 months. The mean postoperative follow-up was 32.2 months with a minimum follow-up of 1 year. Decompression was performed at the level of the fibular neck and slightly distally at the tendinous origin of the peroneus longus using a standard approach to release tight fascial structures or scar tissue. External neurolysis was performed using the operating microscope in two cases for which scarring of the nerve was identified intraoperatively. Postoperatively, 19 of 20 patients showed improvement in ankle dorsiflexion as assessed by the Medical Research Council scale. Electromyographic examination was useful in the preoperative evaluation and selection of patients for decompression surgery. In conclusion, decompression even after a 1-year delay may offer benefit and suggest early intervention in patients with a severe lesion.

Authors+Show Affiliations

Department of Surgery, Division of Plastic and Reconstructive Surgery, St. Joseph's Hospital and McMaster University, Hamilton, Ontario, Canada L8P 3A9. athoma@fhs.mcmaster.caNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11373559

Citation

Thoma, A, et al. "Decompression of the Common Peroneal Nerve: Experience With 20 Consecutive Cases." Plastic and Reconstructive Surgery, vol. 107, no. 5, 2001, pp. 1183-9.
Thoma A, Fawcett S, Ginty M, et al. Decompression of the common peroneal nerve: experience with 20 consecutive cases. Plast Reconstr Surg. 2001;107(5):1183-9.
Thoma, A., Fawcett, S., Ginty, M., & Veltri, K. (2001). Decompression of the common peroneal nerve: experience with 20 consecutive cases. Plastic and Reconstructive Surgery, 107(5), 1183-9.
Thoma A, et al. Decompression of the Common Peroneal Nerve: Experience With 20 Consecutive Cases. Plast Reconstr Surg. 2001 Apr 15;107(5):1183-9. PubMed PMID: 11373559.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Decompression of the common peroneal nerve: experience with 20 consecutive cases. AU - Thoma,A, AU - Fawcett,S, AU - Ginty,M, AU - Veltri,K, PY - 2001/5/25/pubmed PY - 2001/6/22/medline PY - 2001/5/25/entrez SP - 1183 EP - 9 JF - Plastic and reconstructive surgery JO - Plast. Reconstr. Surg. VL - 107 IS - 5 N2 - A retrospective review of 20 patients with common peroneal nerve palsy treated with decompression between 1986 and 1997 was undertaken. Subjects were evaluated preoperatively and postoperatively by electromyography, nerve conduction, and clinical measures. The mean interval between the onset of symptoms to surgery (operative delay) was 15.9 months. The mean postoperative follow-up was 32.2 months with a minimum follow-up of 1 year. Decompression was performed at the level of the fibular neck and slightly distally at the tendinous origin of the peroneus longus using a standard approach to release tight fascial structures or scar tissue. External neurolysis was performed using the operating microscope in two cases for which scarring of the nerve was identified intraoperatively. Postoperatively, 19 of 20 patients showed improvement in ankle dorsiflexion as assessed by the Medical Research Council scale. Electromyographic examination was useful in the preoperative evaluation and selection of patients for decompression surgery. In conclusion, decompression even after a 1-year delay may offer benefit and suggest early intervention in patients with a severe lesion. SN - 0032-1052 UR - https://www.unboundmedicine.com/medline/citation/11373559/Decompression_of_the_common_peroneal_nerve:_experience_with_20_consecutive_cases_ L2 - http://Insights.ovid.com/pubmed?pmid=11373559 DB - PRIME DP - Unbound Medicine ER -