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Superficial peroneal nerve syndrome: an unusual nerve entrapment. Case report.
J Neurosurg 2006; 104(5):820-3JN

Abstract

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.

Authors+Show Affiliations

Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan 48109-0338, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16703890

Citation

Yang, Lynda J S., et al. "Superficial Peroneal Nerve Syndrome: an Unusual Nerve Entrapment. Case Report." Journal of Neurosurgery, vol. 104, no. 5, 2006, pp. 820-3.
Yang LJ, Gala VC, McGillicuddy JE. Superficial peroneal nerve syndrome: an unusual nerve entrapment. Case report. J Neurosurg. 2006;104(5):820-3.
Yang, L. J., Gala, V. C., & McGillicuddy, J. E. (2006). Superficial peroneal nerve syndrome: an unusual nerve entrapment. Case report. Journal of Neurosurgery, 104(5), pp. 820-3.
Yang LJ, Gala VC, McGillicuddy JE. Superficial Peroneal Nerve Syndrome: an Unusual Nerve Entrapment. Case Report. J Neurosurg. 2006;104(5):820-3. PubMed PMID: 16703890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Superficial peroneal nerve syndrome: an unusual nerve entrapment. Case report. AU - Yang,Lynda J S, AU - Gala,Vishal C, AU - McGillicuddy,John E, PY - 2006/5/18/pubmed PY - 2006/5/31/medline PY - 2006/5/18/entrez SP - 820 EP - 3 JF - Journal of neurosurgery JO - J. Neurosurg. VL - 104 IS - 5 N2 - 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. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/16703890/Superficial_peroneal_nerve_syndrome:_an_unusual_nerve_entrapment__Case_report_ L2 - https://thejns.org/doi/10.3171/jns.2006.104.5.820 DB - PRIME DP - Unbound Medicine ER -