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[Anatomical considerations on treatment strategies for compression syndromes of the fibular nerve in the proximal leg].
Handchir Mikrochir Plast Chir. 2009 Aug; 41(4):238-43.HM

Abstract

BACKGROUND

Posttraumatic or iatrogen compression syndromes of the common fibular nerve (CFN) are frequent. Based on previous anatomical investigations the aim of this study was to analyse the course of the CFN along the proximal portion of the leg with respect to its relationship to the anterior intermuscular septum (AIS). Further sites of constriction or fibrous fixation should be defined.

MATERIAL AND METHODS

Anatomical dissection of 111 cadaveric leg specimens was performed. Twenty additional legs were used for histological examination of the respective region within the AIS of the leg. By means of medical records of three patients our current treatment strategy is demonstrated.

RESULTS

A tight fixation of the most proximal motor branch of the deep fibular nerve (DFN) within the AIS at its entering point to the anterior compartment could be demonstrated.

CONCLUSION

We conclude, that selective decompression not only of the CFN, but of the DFN branches which are fixed in the AIS along their course through the proximal portion of the leg, is mandatory during compression syndromes of the CFN.

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Authors+Show Affiliations

Aigner F
Univ.-Klinik für Visceral-, Transplantations- und Thoraxchirurgie, Medizinische, Universität Innsbruck, Osterreich.
Wiedemann D
No affiliation info available
Longato S
No affiliation info available
Fritsch H
No affiliation info available
Stichelberger M
No affiliation info available
Piza-Katzer H
No affiliation info available

MeSH

AdultAged, 80 and overDecompression, SurgicalFemaleHumansLegMaleMicrosurgeryMiddle AgedNerve Compression SyndromesPeroneal NervePeroneal Neuropathies

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

19404901

Citation

Aigner, Felix, et al. "[Anatomical Considerations On Treatment Strategies for Compression Syndromes of the Fibular Nerve in the Proximal Leg]." Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V..., vol. 41, no. 4, 2009, pp. 238-43.
Aigner F, Wiedemann D, Longato S, et al. [Anatomical considerations on treatment strategies for compression syndromes of the fibular nerve in the proximal leg]. Handchir Mikrochir Plast Chir. 2009;41(4):238-43.
Aigner, F., Wiedemann, D., Longato, S., Fritsch, H., Stichelberger, M., & Piza-Katzer, H. (2009). [Anatomical considerations on treatment strategies for compression syndromes of the fibular nerve in the proximal leg]. Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V..., 41(4), 238-43. https://doi.org/10.1055/s-0029-1215575
Aigner F, et al. [Anatomical Considerations On Treatment Strategies for Compression Syndromes of the Fibular Nerve in the Proximal Leg]. Handchir Mikrochir Plast Chir. 2009;41(4):238-43. PubMed PMID: 19404901.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anatomical considerations on treatment strategies for compression syndromes of the fibular nerve in the proximal leg]. AU - Aigner,Felix, AU - Wiedemann,D, AU - Longato,S, AU - Fritsch,H, AU - Stichelberger,M, AU - Piza-Katzer,Hildegunde, Y1 - 2009/04/29/ PY - 2009/5/1/entrez PY - 2009/5/1/pubmed PY - 2009/11/3/medline SP - 238 EP - 43 JF - Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... JO - Handchir Mikrochir Plast Chir VL - 41 IS - 4 N2 - BACKGROUND: Posttraumatic or iatrogen compression syndromes of the common fibular nerve (CFN) are frequent. Based on previous anatomical investigations the aim of this study was to analyse the course of the CFN along the proximal portion of the leg with respect to its relationship to the anterior intermuscular septum (AIS). Further sites of constriction or fibrous fixation should be defined. MATERIAL AND METHODS: Anatomical dissection of 111 cadaveric leg specimens was performed. Twenty additional legs were used for histological examination of the respective region within the AIS of the leg. By means of medical records of three patients our current treatment strategy is demonstrated. RESULTS: A tight fixation of the most proximal motor branch of the deep fibular nerve (DFN) within the AIS at its entering point to the anterior compartment could be demonstrated. CONCLUSION: We conclude, that selective decompression not only of the CFN, but of the DFN branches which are fixed in the AIS along their course through the proximal portion of the leg, is mandatory during compression syndromes of the CFN. SN - 1439-3980 UR - https://www.unboundmedicine.com/medline/citation/19404901/[Anatomical_considerations_on_treatment_strategies_for_compression_syndromes_of_the_fibular_nerve_in_the_proximal_leg]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0029-1215575 DB - PRIME DP - Unbound Medicine ER -