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Common peroneal nerve decompression.
ANZ J Surg 2011; 81(10):707-12AJ

Abstract

BACKGROUND

Common peroneal neuropathy occurs as a result of compression of the common peroneal nerve (CPN) in the fibro-osseous tunnel between the fibular neck and the tendinous arch of peroneus longus. High rates of spontaneous recovery have been reported. However, there is a subset of patients who require decompression of the CPN at the fibular neck.

METHODS

We performed a retrospective analysis of patients that underwent decompressive surgery of the CPN. A total of 22 operations performed on 20 patients were analysed. Pre-operative workup included clinical examination, electrophysiological testing and magnetic resonance imaging (MRI) where indicated. Post-operatively, all patients were examined clinically for neurological recovery and where indicated, electrophysiology was repeated.

RESULTS

74% of patients (14 out of 19) with motor weakness improved, as did 68% with sensory dysfunction. 69% with foot drop improved to have no foot drop, most of these were those that underwent surgery within 12 months of symptom onset (OR 14.7, 95% CI 1.4–133.5).

CONCLUSION

Patients with foot drop fared significantly better if their duration of symptoms prior to surgery was less than 12 months.

Authors+Show Affiliations

Department of Neurosurgery, Westmead Hospital, Westmead, New South Wales, Australia. maheshvarasharma@hotmail.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22295311

Citation

Ramanan, Mahesh, and K Nadana Chandran. "Common Peroneal Nerve Decompression." ANZ Journal of Surgery, vol. 81, no. 10, 2011, pp. 707-12.
Ramanan M, Chandran KN. Common peroneal nerve decompression. ANZ J Surg. 2011;81(10):707-12.
Ramanan, M., & Chandran, K. N. (2011). Common peroneal nerve decompression. ANZ Journal of Surgery, 81(10), pp. 707-12.
Ramanan M, Chandran KN. Common Peroneal Nerve Decompression. ANZ J Surg. 2011;81(10):707-12. PubMed PMID: 22295311.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Common peroneal nerve decompression. AU - Ramanan,Mahesh, AU - Chandran,K Nadana, PY - 2012/2/3/entrez PY - 2012/2/3/pubmed PY - 2012/5/16/medline SP - 707 EP - 12 JF - ANZ journal of surgery JO - ANZ J Surg VL - 81 IS - 10 N2 - BACKGROUND: Common peroneal neuropathy occurs as a result of compression of the common peroneal nerve (CPN) in the fibro-osseous tunnel between the fibular neck and the tendinous arch of peroneus longus. High rates of spontaneous recovery have been reported. However, there is a subset of patients who require decompression of the CPN at the fibular neck. METHODS: We performed a retrospective analysis of patients that underwent decompressive surgery of the CPN. A total of 22 operations performed on 20 patients were analysed. Pre-operative workup included clinical examination, electrophysiological testing and magnetic resonance imaging (MRI) where indicated. Post-operatively, all patients were examined clinically for neurological recovery and where indicated, electrophysiology was repeated. RESULTS: 74% of patients (14 out of 19) with motor weakness improved, as did 68% with sensory dysfunction. 69% with foot drop improved to have no foot drop, most of these were those that underwent surgery within 12 months of symptom onset (OR 14.7, 95% CI 1.4–133.5). CONCLUSION: Patients with foot drop fared significantly better if their duration of symptoms prior to surgery was less than 12 months. SN - 1445-2197 UR - https://www.unboundmedicine.com/medline/citation/22295311/Common_peroneal_nerve_decompression_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=22295311.ui DB - PRIME DP - Unbound Medicine ER -