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Anatomic variations related to decompression of the common peroneal nerve at the fibular head.
Ann Plast Surg. 2002 Jan; 48(1):30-4.AP

Abstract

Peroneal nerve decompression at the fibular head may be anticipated to be performed more often because lower extremity peripheral nerve surgery is used to restore sensation to the feet of diabetic patients. Although the basic concept of releasing the fascia of the peroneus longus is well-known, anatomic variants related to the peroneus muscle have been identified that must be included in the technique for decompression of this nerve. A comparison of these anatomic variants was done between a random selection of 29 cadavers (bilateral) and 65 patients who underwent unilateral peroneal decompression to treat symptoms of that compression. A fibrous band on the undersurface of the superficial head of the peroneus longus was found in 30% of the cadavers and it was found in 78.5% of the patients. The mean width of the band in cadavers was 9.1 mm and in patients it was 10.1 mm. A fibrous band on the superficial surface of the deep head of the peroneus longus was found in 43% of cadavers, and it was found in 20% of the patients. The soleus muscle origin was joined to the peroneus muscle origin in 9% of cadavers and it was noted in 6% of the patients. It is suggested that during surgical decompression of the common peroneal nerve at the fibular head, the surgeon be aware of these anatomic variants so that they may be released appropriately.

Authors+Show Affiliations

Plastic Surgery, Suite 370, Johns Hopkins University, 3333 North Calvert Road, Baltimore, MD 21281, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11773727

Citation

Dellon, A Lee, et al. "Anatomic Variations Related to Decompression of the Common Peroneal Nerve at the Fibular Head." Annals of Plastic Surgery, vol. 48, no. 1, 2002, pp. 30-4.
Dellon AL, Ebmer J, Swier P. Anatomic variations related to decompression of the common peroneal nerve at the fibular head. Ann Plast Surg. 2002;48(1):30-4.
Dellon, A. L., Ebmer, J., & Swier, P. (2002). Anatomic variations related to decompression of the common peroneal nerve at the fibular head. Annals of Plastic Surgery, 48(1), 30-4.
Dellon AL, Ebmer J, Swier P. Anatomic Variations Related to Decompression of the Common Peroneal Nerve at the Fibular Head. Ann Plast Surg. 2002;48(1):30-4. PubMed PMID: 11773727.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic variations related to decompression of the common peroneal nerve at the fibular head. AU - Dellon,A Lee, AU - Ebmer,Johannes, AU - Swier,Patrick, PY - 2002/1/5/pubmed PY - 2002/2/8/medline PY - 2002/1/5/entrez SP - 30 EP - 4 JF - Annals of plastic surgery JO - Ann Plast Surg VL - 48 IS - 1 N2 - Peroneal nerve decompression at the fibular head may be anticipated to be performed more often because lower extremity peripheral nerve surgery is used to restore sensation to the feet of diabetic patients. Although the basic concept of releasing the fascia of the peroneus longus is well-known, anatomic variants related to the peroneus muscle have been identified that must be included in the technique for decompression of this nerve. A comparison of these anatomic variants was done between a random selection of 29 cadavers (bilateral) and 65 patients who underwent unilateral peroneal decompression to treat symptoms of that compression. A fibrous band on the undersurface of the superficial head of the peroneus longus was found in 30% of the cadavers and it was found in 78.5% of the patients. The mean width of the band in cadavers was 9.1 mm and in patients it was 10.1 mm. A fibrous band on the superficial surface of the deep head of the peroneus longus was found in 43% of cadavers, and it was found in 20% of the patients. The soleus muscle origin was joined to the peroneus muscle origin in 9% of cadavers and it was noted in 6% of the patients. It is suggested that during surgical decompression of the common peroneal nerve at the fibular head, the surgeon be aware of these anatomic variants so that they may be released appropriately. SN - 0148-7043 UR - https://www.unboundmedicine.com/medline/citation/11773727/Anatomic_variations_related_to_decompression_of_the_common_peroneal_nerve_at_the_fibular_head_ L2 - http://dx.doi.org/10.1097/00000637-200201000-00004 DB - PRIME DP - Unbound Medicine ER -