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Management outcome of peroneal nerve injury at knee level: experience of a single military institution.
Neurol Neurochir Pol. 2011 Sep-Oct; 45(5):461-6.NN

Abstract

BACKGROUND AND PURPOSE

We investigated the management outcome of common peroneal nerve decompression at the knee level between the years 2005 and 2009.

MATERIAL AND METHODS

Thirty consecutive patients with knee-level peroneal nerve injury who underwent decompression surgery and external neurolysis at our institution were evaluated preoperatively and postoperatively by electrophysiological studies and motor examination (Medical Research Council grading).

RESULTS

Twenty-eight of the cases were male and 2 were female. Mean age was 31.1 for males and 57.5 for females. Physical activity during military training (overstretch/contusion) was the cause of nerve lesion in the majority of the patients (n = 28, 93%). Mean time interval between the diagnosis and the surgery was 5 months. Follow-up time ranged from 3 to 48 months (mean: 14 months). Twenty-nine of 30 (97%) patients recovered totally or near totally in foot/toe dorsiflexion.

CONCLUSIONS

Early decompression and neurolysis of the common peroneal nerve (CPN) at knee level after strenuous physical activity offers excellent functional recovery. Additionally, for knee-level CPN injuries, in order to minimize the postoperative scar, pain and delay in wound healing, we strictly advocate short 'lazy S-shaped incision' around the fibular head in supine position unlike the classical extensive opening up to the superior border of the popliteal fossa in prone position.

Authors+Show Affiliations

Gulhane Military Medical Academy, Ankara, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22127941

Citation

Solmaz, Ilker, et al. "Management Outcome of Peroneal Nerve Injury at Knee Level: Experience of a Single Military Institution." Neurologia I Neurochirurgia Polska, vol. 45, no. 5, 2011, pp. 461-6.
Solmaz I, Cetinalp EN, Göçmez C, et al. Management outcome of peroneal nerve injury at knee level: experience of a single military institution. Neurol Neurochir Pol. 2011;45(5):461-6.
Solmaz, I., Cetinalp, E. N., Göçmez, C., Albayrak, B. S., Kural, C., Kaya, H. S., Secer, H. I., Daneyemez, M., & Gonul, E. (2011). Management outcome of peroneal nerve injury at knee level: experience of a single military institution. Neurologia I Neurochirurgia Polska, 45(5), 461-6.
Solmaz I, et al. Management Outcome of Peroneal Nerve Injury at Knee Level: Experience of a Single Military Institution. Neurol Neurochir Pol. 2011 Sep-Oct;45(5):461-6. PubMed PMID: 22127941.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management outcome of peroneal nerve injury at knee level: experience of a single military institution. AU - Solmaz,Ilker, AU - Cetinalp,Eralp N, AU - Göçmez,Cüneyt, AU - Albayrak,Baki S, AU - Kural,Cahit, AU - Kaya,H Serdar, AU - Secer,H Ibrahim, AU - Daneyemez,Mehmet, AU - Gonul,Engin, PY - 2011/12/1/entrez PY - 2011/12/1/pubmed PY - 2012/2/15/medline SP - 461 EP - 6 JF - Neurologia i neurochirurgia polska JO - Neurol. Neurochir. Pol. VL - 45 IS - 5 N2 - BACKGROUND AND PURPOSE: We investigated the management outcome of common peroneal nerve decompression at the knee level between the years 2005 and 2009. MATERIAL AND METHODS: Thirty consecutive patients with knee-level peroneal nerve injury who underwent decompression surgery and external neurolysis at our institution were evaluated preoperatively and postoperatively by electrophysiological studies and motor examination (Medical Research Council grading). RESULTS: Twenty-eight of the cases were male and 2 were female. Mean age was 31.1 for males and 57.5 for females. Physical activity during military training (overstretch/contusion) was the cause of nerve lesion in the majority of the patients (n = 28, 93%). Mean time interval between the diagnosis and the surgery was 5 months. Follow-up time ranged from 3 to 48 months (mean: 14 months). Twenty-nine of 30 (97%) patients recovered totally or near totally in foot/toe dorsiflexion. CONCLUSIONS: Early decompression and neurolysis of the common peroneal nerve (CPN) at knee level after strenuous physical activity offers excellent functional recovery. Additionally, for knee-level CPN injuries, in order to minimize the postoperative scar, pain and delay in wound healing, we strictly advocate short 'lazy S-shaped incision' around the fibular head in supine position unlike the classical extensive opening up to the superior border of the popliteal fossa in prone position. SN - 0028-3843 UR - https://www.unboundmedicine.com/medline/citation/22127941/Management_outcome_of_peroneal_nerve_injury_at_knee_level:_experience_of_a_single_military_institution_ L2 - https://medlineplus.gov/kneeinjuriesanddisorders.html DB - PRIME DP - Unbound Medicine ER -