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Superficial peroneal nerve anatomic variability changes surgical technique.
Clin Orthop Relat Res 2005; 438:248-52CO

Abstract

Entrapment of the superficial peroneal nerve is an uncommon entrapment that occurs in sports trauma or fracture and dislocation as the nerve comes under pressure between the underlying muscles and the overlying fascia. Although the superficial peroneal nerve traditionally is depicted as being in the lateral compartment, we have found it in the anterior compartment in some patients. We hypothesized that patients with entrapment of the superficial peroneal nerve were more likely to have this anatomic variant than the normal population and that surgical decompression of both compartments would improve clinical outcome versus the historic surgical approach of decompressing just the lateral compartment. We retrospectively reviewed the location of the superficial peroneal nerve in a consecutive series of 35 limbs in 31 patients with entrapment of the superficial peroneal nerve. The results showed that the location of the superficial peroneal nerve was not different from the reported normal variation. However, the location of the superficial peroneal nerve in the anterior compartment in 47% of the patients in this series suggests that surgeons must explore the anterior and the lateral compartments in each patient with entrapment or neuroma of the superficial peroneal nerve.

LEVEL OF EVIDENCE

Therapeutic study, Level IV (case series-no, or historical, control group). See the Guidelines for Authors for a complete description of levels of evidence.

Authors+Show Affiliations

Division of Plastic Surgery, Johns Hopkins University, Baltimore, MD 21218, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16131898

Citation

Rosson, Gedge D., and A Lee Dellon. "Superficial Peroneal Nerve Anatomic Variability Changes Surgical Technique." Clinical Orthopaedics and Related Research, vol. 438, 2005, pp. 248-52.
Rosson GD, Dellon AL. Superficial peroneal nerve anatomic variability changes surgical technique. Clin Orthop Relat Res. 2005;438:248-52.
Rosson, G. D., & Dellon, A. L. (2005). Superficial peroneal nerve anatomic variability changes surgical technique. Clinical Orthopaedics and Related Research, 438, pp. 248-52.
Rosson GD, Dellon AL. Superficial Peroneal Nerve Anatomic Variability Changes Surgical Technique. Clin Orthop Relat Res. 2005;438:248-52. PubMed PMID: 16131898.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Superficial peroneal nerve anatomic variability changes surgical technique. AU - Rosson,Gedge D, AU - Dellon,A Lee, PY - 2005/9/1/pubmed PY - 2005/12/13/medline PY - 2005/9/1/entrez SP - 248 EP - 52 JF - Clinical orthopaedics and related research JO - Clin. Orthop. Relat. Res. VL - 438 N2 - UNLABELLED: Entrapment of the superficial peroneal nerve is an uncommon entrapment that occurs in sports trauma or fracture and dislocation as the nerve comes under pressure between the underlying muscles and the overlying fascia. Although the superficial peroneal nerve traditionally is depicted as being in the lateral compartment, we have found it in the anterior compartment in some patients. We hypothesized that patients with entrapment of the superficial peroneal nerve were more likely to have this anatomic variant than the normal population and that surgical decompression of both compartments would improve clinical outcome versus the historic surgical approach of decompressing just the lateral compartment. We retrospectively reviewed the location of the superficial peroneal nerve in a consecutive series of 35 limbs in 31 patients with entrapment of the superficial peroneal nerve. The results showed that the location of the superficial peroneal nerve was not different from the reported normal variation. However, the location of the superficial peroneal nerve in the anterior compartment in 47% of the patients in this series suggests that surgeons must explore the anterior and the lateral compartments in each patient with entrapment or neuroma of the superficial peroneal nerve. LEVEL OF EVIDENCE: Therapeutic study, Level IV (case series-no, or historical, control group). See the Guidelines for Authors for a complete description of levels of evidence. SN - 0009-921X UR - https://www.unboundmedicine.com/medline/citation/16131898/Superficial_peroneal_nerve_anatomic_variability_changes_surgical_technique_ L2 - http://Insights.ovid.com/pubmed?pmid=16131898 DB - PRIME DP - Unbound Medicine ER -